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Volunteer Application

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

Note: Information provided within this Volunteer Application remains confidential to Meals on Wheels Spokane.

CONTACT INFORMATION
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(mm/dd/yyyy)
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(mm/dd/yyyy)
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*Full name required for background check

Maiden name, nicknames, previous married name, etc.
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*Individuals who are 18 or over must submit their own application and agree to a background check
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code

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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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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Please Note:

*Individuals with convictions of crimes against a person and/or crimes involving illegal substances are not eligible for volunteering with our population.

VOLUNTEER INFORMATION
We are required to have identification on all volunteers. Drivers please provide insurance info also. If you are not driving a route and don't have a valid driver's license you may provide other valid identification such as state-issued ID or a valid passport.
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Please choose type of ID you are providing for background check. Driver's license is required for volunteer drivers.

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

*Required for volunteer drivers.




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.

*Insurance information only required for volunteer drivers.

VOLUNTEER AVAILABILITY
Please indicate your availability and/or preference for volunteer service
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(Check all you are interested in)
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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. I will not share any specific names or health information about our clients to anyone outside of Meals on Wheels Spokane.

The information I have provided is complete and accurate to the best of my knowledge. For the safety of our clients, I authorize Meals on Wheels Spokane to complete a Washington State criminal background check. I understand misrepresentation by me in this application or violation of the program’s policies or procedures shall be sufficient cause for separation from volunteering at Meals on Wheels Spokane/Mid-City Senior Center.

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