Volunteer Application – Meals on Wheels

Personal Information

Full Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Birthdate*

What languages do you speak?*

English
French

Driver's Information

Driver's License Number*

Enter license number without dashes

Expiry Date*

License Plate*

Vehicle Make*

Vehicle Colour*

Insurance Company Name*

Do you have insurance with a minimum of 1 million in liability coverage?*

Yes
No

In Case of Emergency

Emergency Contact 1

Name*

Relationship*

Phone*

Emergency Contact 2

Name*

Relationship*

Phone*

Application Questions

How did you hear about Meals On Wheels (Sudbury)*

Have you had any previous experience working with:*

Seniors
The Chronically ill
The Mentally and Physically Ill
Convalescents
New Mothers
No Experience

Have you applied or been a volunteer for Meals on Wheels (Sudbury) in the past?*

Why are you interested in volunteering for Meals on Wheels (Sudbury)*

Do you have any previous volunteer experience?*

Do you know of someone that is associated with Meals on Wheels (Sudbury)? (Staff, volunteer, client, etc)*

References

Reference 1

Name*

Relationship*

Phone*

Reference 2

Name*

Relationship*

Phone*

Volunteer Information

Volunteer Opportunities

Volunteer Driver
Emergency Volunteer Driver
Volunteer Helper
HMR Volunteer Driver
Depot Volunteer Driver
Office Volunteer
Kitchen Volunteer
Board of Directors Volunteer

Please check all that apply

Volunteer Availability

Monday
Tuesday
Wednesday
Thursday
Friday

Please check all the days on which you may be available:

Volunteer Application Form

Personal Information

Driver's Information

In Case of Emergency

Application Questions

References

Volunteer Information