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* OccupationAre 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 QualificationsEmergency Contact InformationName of your emergency contactRelationship (ex: mother, father, etc.)Phone number of your emergency contactPreferencesDays 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?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.