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Volunteer Application

THANK YOU FOR YOUR INTEREST IN VOLUNTEERING WITH MEALS ON WHEELS!

There are many opportunities to volunteer with the Meals on Wheels of Haywood County team! Here are some of the ways you can get involved with our program:

As a Permanent Driver
As a Substitute Driver
As a support during community events

If you would like to apply as an individual or a pair, please continue to the bottom of the page to fill out our volunteer application. If you have questions about volunteering, stop by our volunteer information page first.

If you are hoping to volunteer with a team (e.g., a church group, a business team, a sports team, etc.) or would like to volunteer in a different capacity (i.e., not as a driver), please reach out to us via email.

If you would like to discuss more about volunteering with Meals on Wheels, please reach out to Cheryl McCracken at (828) 356-2455.

SOMETHING TO KEEP IN MIND:

Special bonds form between volunteers and recipients. When you develop these bonds, please discuss sharing contact information with them in advance. Occasionally, routes and recipients are changed due to logistics, GIS mapping, construction, etc. You are welcome to phone or visit a recipient if they are moved to another route, rehabilitation facility, or permanent placement outside of their home. We do ask that you respect recipients' privacy, and understand that some details are confidential.

Volunteer Application

Contact Information

Name:

Date of Birth

Address

City/Town

State/Province

ZIP/Postal Code

Home Phone

Cell Phone

Confirm email

Do you text?

Yes

Availability

Days Available to Deliver

Monday

Tuesday

Thursday

Check if you prefer a permanent route.

Check if you prefer to be a substitute driver.

Check if you can be a permanent or substitute driver.

Check if you are available for special events.

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Policies of Agreement

Statement of Liability

Haywood County Meals on Wheels is not responsible for personal injuries or property damage suffered or caused by a volunteer in connection with his or her volunteer activities. As a condition to serving as a volunteer, each volunteer is expected to maintain his or her own personal and automobile insurance covering these and other risks.

Confidentiality Statement

It is understood that as a volunteer of Haywood County Meals on Wheels, you will protect the privacy of all those we serve by maintaining strict confidentiality when discussing meal recipients and the nature of their health conditions. Under no circumstances should a volunteer from the Haywood County Meals on Wheels divulge recipient information to anyone outside the organization. (Handout available)

Civil Rights Training

Haywood County Meals on Wheels is required by the NC Department of Agriculture and Consumer Services-Food Distribution to provide civil rights information noting we are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity, sexual orientation, disability, age, marital status, income derived, political beliefs, reprisal for prior credible activity. (Handout Available)

Photo Release

Yes I give consent and authorization for the Staff and/or directors of the Haywood County Health & Human Services Agency to use my name, photograph, or video for publicity or the development of print material in support of the Meals on Wheels program. I understand that such material will not be sold or used for monetary gain but may be used to promote the programs the Meals on Wheels program.

Background Check

I acknowledge a background check may be completed.

Minor Agreement terms of service.

Minors Under 18 Years of Age

I am the parent of a minor interested in volunteering, and I approve of their participation in volunteering for Meals on Wheels.

I will provide a copy of my drivers license to MOW staff.

Yes

References

Reference Name

Reference Phone

Former Employer

Employer Phone

Have you ever been convicted of a felony or misdemeanor as an offense against a person or family?

Yes

Leave this field blank

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157 Paragon Parkway, Ste 300
Clyde, NC 28721
828-356-2442

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