Volunteers for Meal Deliveries for Seniors, San Diego, CA – Volunteer - Volunteer Application

Contact Information

* = Required

Date

Name*

FirstLast

Address*

Street AddressAddress Line 2CityStateZip Code

Home Phone*

Cell Phone*

Work Phone

Preferred Contact Number*

Email*

Emergency Contact*

FirstLast

Emergency Contact Phone*

Please list someone other than your delivery partner if you are volunteering to deliver meals

Driver Information

Driver's License Number*

Expiration Date*

State Issued*

Date Issued*

Your Auto Insurance is With:*

Insurance information is required if your volunteer position involves driving, such as delivering meals. A copy of your insurance card and valid driver’s license will be collected at the service center.

Volunteer Experiences

Please tell us which types of volunteer experiences you prefer (check all boxes that appeal to you)

Volunteer Location

Check the box indicating the area where you prefer to volunteer: *

Metro (San Diego) - 2254 San Diego Ave., #100, San Diego, CA 92110-2944
East County - 1488 Pioneer Way, #4, El Cajon, CA 92020
South County - 270 F Street, Suite 22, Chula Vista, CA 91910
North County - 930 Boardwalk Street, Unit C, San Marcos, CA 92078

Meals Delivery

If you wish to deliver meals, please list the neighborhoods/delivery areas you prefer: (i.e., Carlsbad, La Mesa, Hillcrest, etc.)

Your preference will be accommodated whenever possible. You may need to wait for a particular area or time slot opening based on preference.

If you wish to deliver meals, do you have a delivery partner that you wish to work with?

This partner will also need to complete an application

Will persons under the age of 18 be your partner or in your care while delivering meals?

Yes
No

If yes please complete the following

FirstLast

Age

Relationship

ALL volunteers delivering meals who are under 18 years of age must be accompanied by an adult

Availability

Please check the box next to the days you are available to volunteer:*

Please check the box and/or fill in comments box for the frequency you are available:*

Once a week
Two times a month
As needed

Comments

Will you need verification of hours worked?*

Yes
No

Organizations requiring notification of hours*

More Information

How did you learn about our need for volunteers?

Please tell us anything that may help us understand exactly how you heard about this opportunity

Example: Saw a story on Channel 10 news in October

Have you ever worked for Meals-on-Wheel San Diego before, either in a paid or volunteer capacity?*

Yes
No

If yes, what was your position?*

Indicate maximum education level

Degree In

Are you affiliated with any Community/Service organizations communities?

Yes
No

If yes, which Community/Service organizations communities?

Please indicate areas of skill or expertise that may be appropriate for the volunteer position(s) you are interested in pursuing

Ex. computer skills, phone skills, speaking experience, etc.

Have you ever been convicted of a felony?*

Yes
No

If yes, please explain:*

* Note: People needing to complete “court appointed hours” will not be accepted

References

Please provide any two of the following

Business/Employer Reference #1

FirstLast

Relationship

Phone

Address

Street AddressAddress Line 2CityStateZip Code

Business/Employer Reference #2

FirstLast

Relationship

Phone

Address

Street AddressAddress Line 2CityStateZip Code

Personal Reference #1

FirstLast

Relationship

Phone

Personal Reference #2

FirstLast

Relationship

Phone

Applicant Agreement

I understand that Meals-on-Wheels Greater San Diego, Inc., (the Agency), will provide a Volunteer Orientation/Training Program and my participation in this training is required.

Meals-on-Wheels Greater San Diego, Inc. strongly upholds the strictest level of volunteer, employee, and client confidentiality. All information, personal or otherwise, regarding clients, volunteers, and the operations of Meals-on-Wheels is to be kept confidential and may not be shared with outside parties without express written consent. Information or knowledge of customers, volunteers, or other parties affiliated with Meals-on-Wheels used for financial gain or other unauthorized or unethical causes is strictly forbidden and will be dealt with to the fullest extent of the law.

I authorize Meals-on-Wheels Greater San Diego, Inc. to contact my references regarding my character and conduct. I hereby release the Agency and said references from all liability in any respect pursuant to this inquiry. I further agree that failure to reveal pertinent information, or the giving of false or misleading information by me, may be grounds for termination of my volunteer assignment.

I understand that Meals-on-Wheels Greater San Diego, Inc. has a policy of ‘at-will’ employment; just as a volunteer may terminate his/her relationship with the Agency at any time for any reason, the Agency expressly reserves the right to terminate any volunteer at its sole discretion.

I agree to uphold and abide by the policies and procedures of Meals-on-Wheels Greater San Diego, Inc.

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I Agree*

FirstLast

Please enter your name as is appears at the beginning of this form.

Date*

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Volunteer Application

Contact Information

Driver Information

Volunteer Experiences

Volunteer Location

Meals Delivery

Availability

More Information

References

Applicant Agreement