Volunteer Application

Applicant Street Address (required)

Gender (required)
MaleFemale

Employer: (required)

Church Affiliation: (required)

What day(s) are you available for volunteering? (required)
MondayTuesdayWednesdayThursdayFriday

Which area(s) are you interested in volunteering? (required)
Driver to Deliver foodKitchen HelpEvents/ActivitiesOffice/ClericalFundraisingSpecial ProjectsPhotographyScrapbooking

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports that you would be willing to share: (required)

Previous Volunteer Experience

Summarize your previous volunteer experience: (required)

Drivers Only: Have you had a DUI or DWI within the last ten years? (required)
YesNo

Drivers Only - Please attach a coy of your Driver's License:

Drivers Only - Please attach a coy of your Insurance Card:

Person to Notify in Case of Emergency

Emergency Contact Street Address (required)

Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin,
gender, sexual preference, age, or disability.

Photo Release

I hereby authorize Pickens County Meals on Wheels to release any photographs taken of me for any purpose related to
the promotion and well-being of Pickens County Meals on Wheels including, but not limited to newspapers, magazines,
presentations and television. (required)

YesNo

Agreement

By electronically submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am
accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may
result in my dismissal.