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Volunteer Application
HOMEBOUND MEALS FOLLOWS ALL CDC HEALTH RECOMMENDATIONS INSOFAR AS WE SERVE A VERY VULNERABLE POPULATION IN OUR COMMUNITY. HBMDRIVER
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* Indica una domanda obbligatoria
Email
*
Il tuo indirizzo email
How Did You Hear About Us?
*
Referred by a Current Diver
Volunteer Center Fort Wayne
Facebook/Instagram
Website
WOWO
Spotify
Option 7
Civic Organization/Club
National Meals on Wheels
Other
Do You Go Away For the Winter?
*
Yes
No
periodically throughout the winter
Altro:
2023 Year You Start Driving For Homebound Meals
*
La tua risposta
Last Name, First
*
La tua risposta
Address Including Zip
*
La tua risposta
Contact Phone
*
La tua risposta
Birth Date
*
GG
/
MM
/
AAAA
Availability - Most Volunteers Drive 1 Day per Week
*
Monday
Tuesday
Wednesday
Thursday
Friday
Any Day is Fine
I Will Drive Multiple Days Every Week
Obbligatorio
Are You Partnering with Another Volunteer to Deliver?
*
Yes
No
If You Answered "Yes" Above, Please Identify the Partner or Spouse
La tua risposta
Drivers License Expiration Date
*
GG
/
MM
/
AAAA
Are you Interested in Delivering:
*
Hot Meals - Noon Hour takes about 90 minutes
Frozen Meals - Pick up at Noon takes about 2 1/2 hours
Either
Volunteer Agrees By Checking Each Item
*
Volunteer Assumes Full Responsibility for self, passengers, & transportation in volunteering.
Volunteer is NOT authorized to perform any medical assistance including moving anyone who has fallen.
Volunteer will maintain current & legal insurance as defined by the State of Indiana
Volunteer will maintain current &legal license for operating a motor vehicle in the United States or Canada
Volunteer agrees to keep all client information confidential
Volunteer agrees to return all Homebound property, in good working order within 14 days of termination to avoid being charged.
Volunteer will use, maintain and provide Homebound Meals with their current cell phone number
Volunteer will adhere to all volunteer policies as defined in the most current Volunteer Handbook
Volunteer understands that criminal and traffic records will be verified.
Volunteer will provide a legible copy of current driver's license and insurance card to
HBMDrivers@gmail.com
For volunteer insurance, complete the form through The Volunteer Center at
https://opportunities.volunteerfortwayne.org/user/register/
This check mark indicates that you have read and understand the requirements for Volunteering.
Obbligatorio
Una copia delle risposte verrà inviata via email all'indirizzo fornito.
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