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Volunteer Application MOW Wake County

COVID-19 Volunteer Update: We truly appreciate the support the community has provided thus far! At this time, we will only be accepting applications for volunteers to support our Frozen Meal Delivery service. This entails delivering 5 frozen meal boxes to 6-8 Meals on Wheels participants once a week.

As we have seen a record number of volunteer applications come in the last few days, please know that we are working to process it as quickly as possible and do not have the capacity to respond to everyone at this time.

If you are not able to support this specific need, but would like to support our seniors during this unprecendented crisis, please consider donating to our COVID-19 Emergency Response Fund.

As a Meals on Wheels volunteer, you’ll belong to a team committed to helping homebound older adults maintain their health and independence with nutritious food, personal contact, and caring service.

Volunteering for Meals on Wheels of Wake County provides a golden opportunity to directly help individuals in your community. Volunteers are the lifeblood of our organization, helping us serve over 1400+ seniors in Wake County through our life-sustaining programs.

The most convenient and impactful way to help our program is by becoming a Frozen Meal Delivery Volunteer. This volunteer opportunity is available Monday-Friday and only requires about 1-2 hours of your day to help feed an older or disabled neighbor in your community.

Each Frozen Meal Delivery Volunteer must be physically able to lift a box of 5 frozen meals, and provide their own transportation.

Your privacy and security is important to us and as such, all personal information will remain confidential within Meals on Wheels of Wake County.

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Your Contact info

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Home Phone *

If your home phone is the same as your cell phone, just put the same number in both fields.

Cell Phone *

Work Phone *

Preferred Contact Number *

Home

Cell

Work

Email *

Emergency Contact info

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number *

Emergency Contact 2 First name *

Emergency Contact 2 Last Name *

Emergency Contact 2 Phone Number *

Reference Info

Reference First Name *

Reference Last Name *

Reference Phone Number *

Reference First Name 2 *

Reference Last Name 2 *

Reference Phone Number 2 *

Drivers License and Insurance Info

Driver's License Number *

Expiration Date *

Month

Day

Year

State issued *

Date Issued *

Month

Day

Year

Insurance Company *

Insurance Policy Number *

Policy Expiraiton Date *

Month

Day

Year

Is your volunteer interest in order to fulfill community service hours? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

Liability and Confidentiality

STATEMENT OF LIABILITY - Meals on Wheels of Wake County is not responsible for personal injuries or property damage suffered or caused by volunteer in connection with his or her volunteer activities. As a condition to serving as a volunteer, each volunteer is expected to maintain his or her own insurance covering these and other risks.

Liability Acknowledgement *

Type your name below, as it appears at the beginning of this form, to agree to the above statement.

CONFIDENTIALITY STATEMENT - It is understood that as a volunteer of Meals on Wheels of Wake County, you will protect the privacy of all those we serve by maintaining strict confidentiality when disucssing meal recipients and the nature of their health conditions. Under no cirumstances should a volunteer from Meals on Wheels of Wake County divulge recipient information to anyone outside the organization.

Confidentiality Acknowledgement *

Type your name below, as it appears at the beginning of this form, to agree to the above statement.

Meals on Wheels of Wake County, NC

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Impact of Meals on Wheels

Study Shows That a Daily Meal Delivery Significantly Helps Homebound Older A

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WHY MEALS ON WHEELS ?

1001 Blair Drive, Suite 100

Raleigh, NC 27603

Phone: 919.833.1749

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