Become a Volunteer By volunteering just a few hours, you can help us by Delivering More Than a Meal in your community. Volunteer ApplicationName* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile PhoneHome PhoneEmail* Birthdate* Date Format: MM slash DD slash YYYY Which program would you like to volunteer for? Meal Delivery Phone Reassurance Operations Meals are delivered on Mondays, Wednesdays and Fridays between 11am-2pm. Phone Reassurance calls are made on Tuesdays and Thursdays between 10:30am-2pm. Operations volunteers are needed Monday-Friday. Days Available: Please check as many as you like.* Monday (Meal Delivery) Tuesday (Phone Reassurance) Wednesday (Meal Delivery) Thursday (Phone Reassurance) Friday (Meal Delivery) Where would you like to deliver meals to? Select All Santa Monica Venice Marina del Rey Pacific Palisades Malibu If you would like to deliver meals, then would you like to be a: Select All Driver Helper What other languages do you speak?*Volunteer AgreementAs a volunteer for Meals on Wheels West I agree to the following terms and conditions: 1. When I come to volunteer I will be dressed in clean clothing, have good personal hygiene and always wear a shirt and closed toe shoes. If not, I will be sent home. This is a sanitation requirement and a courtesy to others. 2. If I am a driver I will provide a current and valid driver’s license and proof of current car insurance. 3. All information regarding clients is to be kept in strictest confidence and not shared with anyone for the safety and privacy of all parties. 4. While I am in the client's home I will only use my cell phone in an emergency, or if I need to communicate a situation or question with the office. 5. I will treat my co-volunteers, clients, and office staff with courtesy and respect. 6. When taking out a route as a driver or assistant I will keep the meals in the insulated delivery bags for as long as possible to maintain the temperature and integrity of the food. Exceptions to this should be discussed with Angel. 7. I will call the office or email to inform of any schedule changes a minimum of one business day in advance so that the volunteer coordinator has time to find a replacement volunteer. I understand that if I fail to notify the office within the appropriate time frame more than 3 times, I may be subject to suspension. 8. I will report back any unsafe situations that I observe in the client's home. 9. In an emergency, including people who have fallen, requesting help or are unconscious, I will immediately call 911. Then I will call the office and wait with the client until help arrives. I will not touch a fallen individual, I will not pick up someone who has fallen and I will not administer any medication. By signing below, I agree to the terms and conditions above. Signature/Date*I agree to indemnify and hold Meals on Wheels West harmless of all claims, demands, losses, suits or any other damages of any kind arising from my activities as a volunteer for Meals on Wheels West.CommentsThis field is for validation purposes and should be left unchanged.