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Volunteer Application Form

Volunteers must be over 18 or volunteer with a parent/guardian

CONTACT INFORMATION
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First Name
Last Name
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(mm/dd/yyyy)
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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Main contact phone

cellphone, work, etc.
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(mm/dd/yyyy)
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(If retired, please indicate former employer)
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EMERGENCY CONTACT INFORMATION
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First Name
Last Name
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Mother, Son, Friend, etc.
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work, cellphone, etc.
MISCELLANEOUS BACKGROUND INFORMATION
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If you answered yes to previous question
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If you answered yes to previous question
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VOLUNTEER DRIVER INFORMATION
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Driver's license or ID is required for background check

You may upload your driver's license here, or you may fill in your info below. You may also bring it in when you come in for the 1st time.



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You may upload a photo of your insurance policy here , or you may fill in your info below. You may also bring it in when you come in for the 1st time.


VOLUNTEER AVAILABILITY
Please indicate your availability and/or preference for volunteer service
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Statement of Liability: Meals on Wheels Spokane is not responsible for personal injuries or property damage suffered or caused by a volunteer in connection with his or her volunteer activities. I understand and agree to the condition that as a volunteer driver I am expected to maintain my own liability insurance for the duration of my service to Meals on Wheels Spokane.

Confidentiality Statement: It is understood as a volunteer of Meals on Wheels Spokane that I will respect the privacy of all clients by maintaining strict confidentiality when discussing meal recipients. I will make sure not to share any specific names or health information to anyone outside of Meals on Wheels Spokane.

 The information I have provided is complete and accurate to the best of my knowledge. I authorize meals on Wheels Spokane to complete a Washington State criminal background check. I understand that misrepresentation by me in this application shall be sufficient cause for separation from Meals on Wheels Spokane.

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