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- March for Meals
- Festival of Meals

Home-Delivered Meal Program - Volunteer Application

"*" indicates required fields

Personal & Contact Information:

Name*

First Last

Address*

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

Phone*

Cell Carrier*

Email*

Birth Date*

MM slash DD slash YYYY

Gender*

Race/Ethnicity*

Primary Language*

Are you employed?*

YES

NO

Are you retired?*

YES

NO

Are you a veteran?*

YES

NO

Describe your employment history*

Volunteering Data:

How did you hear about Meals on Wheels?

What keeps you motivated / how do you like to be recognized for your hard work?*

What are the best days for you to deliver meals?*

Check all that apply.

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

Are you available to be called in to substitute?*

(Be called to potentially deliver meals on a day you are not scheduled to deliver)

YES

NO

Are you volunteering with a partner?*

YES

NO

If yes: name, pronouns and relationship to you

Will your partner consent to a background check?

YES

NO

Are you volunteering with a business/organization?*

YES

NO

If yes, name of business/organization

Vehicle Information:

Year*

Make*

Model*

Color*

Plate Number*

Insurance Company*

Policy #*

Copy of valid driver's license provided?*

YES

NO

Copy of car insurance policy provided?*

YES

NO

Emergency Contact Information:

Name*

First Last

Relationship*

Address*

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

Phone*

Consenting Information:

Do you consent to be contacted via*

Text

Email

Do you consent to Meals on Wheels/AmeriCorps Seniors to use your likeness in photograph(s)/video(s) in any publications or on the internet?*

YES

NO

Do you consent to Meals on Wheels obtaining a background check?*

YES

NO

Email

This field is for validation purposes and should be left unchanged.

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Meals on Wheels of Rhode Island
70 Bath St.
Providence RI 02980
(401) 351-6700

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