Apply to Become a Volunteer | St. Vincent Meals on Wheels

Name*

First Last

Date of Birth*

MM

DD

YYYY

Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Email*

Occupation

Are you volunteering for Corporation/Business Service Day?

Yes
No

If yes, what Corporation/Business?*

Do you have community service hours you need to fulfill?

Yes
No

If yes, number of hours?*

Please enter a number from 1 to 999.

Completion date?

Hours are needed for:

School
Religious or Service Group
Court Ordered (special requirements prior to being accepted)

Do you have a valid California Driver’s License?*

Yes
No

Has your driver’s license ever been suspended?

Yes
No

Have you ever been convicted of a felony or misdemeanor?*

Yes
No

If yes, please explain:

Why are you interested in volunteering at St. Vincent Meals on Wheels?

How did you hear about the program?

List any previous or current volunteer experience:

Include: Organization, Position/Major Responsibility, Supervisor and Phone/Email

Special Skills or Qualifications

Emergency Contact Information

Name of your emergency contact

Relationship (ex: mother, father, etc.)

Phone number of your emergency contact

Preferences

Days you are available*

Select All
Monday
Tuesday
Wednesday
Thursday
Friday
Holidays

Volunteer Interests*

Select All
Driver
Runner
Kitchen
Office Staff
Events
Pet Food Delivery

Can you perform the tasks required to carry out the job for the areas of interest you have indicated without accommodation?

Yes
No

If "No", please explain*

Preferred Start Date*

By checking this box below:*

I agree to the following:

I confirm that all information contained in this application is accurate.

I agree to keep all identifying and personal information about St. Vincent Meals on Wheels clients confidential.

As a volunteer for St. Vincent Meals on Wheels, I hereby release and hold harmless St. Vincent Meals on Wheels, the Board of Directors, and their officers, employees, and agents from all actions, damages, injury, or claims which I or my affiliates may have against them which may be incurred as result of my participation in the Volunteer Program.