Volunteer Sign Up

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Volunteer Sign Up

Fact Sheet

Today's Date *

YYYY

Email Address *

Name *

Address *

City *

State *

Zip *

Date of Birth *

YYYY

Gender

Male

Female

Clear selection

Phone (cell) *

Phone (other)

Preferred Method of Contact *

Cell Phone Text

Cell Phone Call

Other Phone

Emergency Contact Name and Number *

Church Membership? (name of church)

Volunteer Experience (current/past)

Hobbies/Interests

Clubs/Organizations

Current Employment

Prior Employment

How did you hear about Meals on Wheels?

Preference for Volunteer Work Type *

Driver/Meal Delivery

Emergency/Bad Weather Driver

Kitchen Help/Server

Meal/Beverage Packer

Donation Pick Up

Required

What mornings are you available to volunteer? *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Other

Required

Reference #1 Name *

Reference #1 Phone Number *

Reference #2 Name *

Reference #2 Phone Number *

Are you interested in becoming a member or our Board of Directors?

Yes

Maybe

Clear selection

Do you know others who may be interested in volunteering?

By my signature below, I acknowledge that I am a gratuitous volunteer for Cherokee County Meals on Wheels, Inc. (CCMOW) and understand that there is no coverage available under the workers compensation insurance policy provided for the employees of CCMOW for any expenses arising out of any injury or illness that I incur as the result of my association with CCMOW. I certify I have liability coverage in force on my vehicle. (Your typed name acts as your signature below.) Please type your full name: *

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