Thank you for choosing to volunteer at St. Vincent Meals on Wheels. Please complete the volunteer application form below: Name* First Last Date of Birth* MM DD YYYY Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone*Email* Preferred Method of Communication*PhoneEmailOccupation*Position Applying For* One-Time Volunteer Short-Term Volunteer (3 months or less) Long-Term Volunteer (6 months or more) Unsure Note: Most positions are 3-4 hours per shift (usually 9:30 am to 1:30 pm); some limited opportunities in the afternoon.Are you volunteering for Corporation/Business Service Day?*YesNoIf yes, what Corporation/Business?*Do you have community service hours you need to fulfill?*YesNoIf yes, number of hours?*Please enter a number from 1 to 999.Completion date?* Date Format: MM slash DD slash YYYY Hours are needed for:*SchoolReligious or Service GroupCourt Ordered (special requirements prior to being accepted)Do you have a valid California Driver’s License?*YesNoHas your driver’s license ever been suspended?*YesNoHave you ever been convicted of a felony or misdemeanor?*YesNoIf 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/EmailSpecial Skills or Qualifications*Emergency Contact InformationName of your emergency contact*Relationship (ex: mother, father, etc.)*Phone number of your emergency contact*PreferencesDays you are available* Select All Monday Tuesday Wednesday Thursday Friday Saturday Holidays Volunteer Interests* Select All Driver Runner Kitchen Office Staff Events Can you perform the tasks required to carry out the job for the areas of interest you have indicated without accommodation?*YesNoIf "No", please explain*Preferred Start Date* Date Format: MM slash DD slash YYYY 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. This iframe contains the logic required to handle Ajax powered Gravity Forms.