Volunteer Application : Support Us : Meals On Wheels South Texas

Contact Information

Name

Prefix

First Name *

Middle

Last Name *

Suffix

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Phone

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Driver's License or ID #

Driver's License or ID Issuing State

Demographic Information

All information in this section is used for demographic and analytics purposes. Meals on Wheels South Texas has a strict nondiscrimination policy.

Review DEIA Statement

Date of Birth

Month

Day

Year

Gender

Male
Female
Nonbinary/Other Identity

Veteran

If a Veteran, what branch?

Race

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
White

Ethnicity

Hispanic or Latino
Not Hispanic or Latino

How did you hear about volunteering with MOWSTx?

Word-of-Mouth (current volunteer)
Word-of-Mouth (someone who does not currently volunteer with MOWSTx)
Billboard
Social Media
Radio
Television/News
Other

Employer

Emergency Contact

Emergency Contact Name

First Name *

Middle

Last Name *

Emergency Contact Phone

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Emergency Contact Relationship

Availability

Monday

Monday is currently our busiest delivery day, from 10:30am to about 1:00pm. We especially need help here!

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

When can you start?

Volunteer Interest

In what areas of MOWSTx's programming would you like to help out?

Is there anything else you would like to help with at MOWSTx?

For Volunteers Interested in Driving Positions

Have you been involved in any motor vehicle accidents while driving in the past three years?

Do you have any restrictions on your driver’s license at present?

Have you been convicted of any moving violations in the past 5 years?

Please explain any yes answers.

Please provide MOWSTx with a copy of your current auto insurance and valid driver’s license.

Our staff can make a copy when you first visit us if you are unable to do so.

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For Volunteers Interested in Friendly Visitor/Senior Companionship

Are you willing to visit a client who has pets?

Are you willing to visit a client who smokes?

List any concerns you may have about participating in this program.

A background check is required for all MOWSTX volunteers.

Review Background Check Policy

I certify the information provided is true to the best of my knowledge, and I consent to the required background check to volunteer with Meals on Wheels South Texas.

Volunteer Signature

By signing your name electronically in this field, you are agreeing that your electronic signature is the legal equivalent of your manual signature on this Volunteer Application.

I agree and understand that my electronic signature is the legal equivalent of my manual signature on this Volunteer Application.

I agree and understand.

Volunteers younger than 18 years of age: Parent/Guardian Consent

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Parent/Guardian Signature

By signing your name electronically in this field, you are agreeing that your electronic signature is the legal equivalent of your manual signature on this Volunteer Application.

I agree and understand that my electronic signature is the legal equivalent of my manual signature on this Volunteer Application.

I agree and understand.

Parent/Guardian Phone

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