Delivery & Operations Volunteer Application Form Looking to volunteer for the Community Connections Friendly Calling program? Please click here. If you are a volunteer who has to complete court-mandated community service, please do not fill out application. You must email Margaret Talai at firstname.lastname@example.org for further information. Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile PhoneHome PhoneEmail* Birthdate* MM slash DD slash YYYY Gender* Male Female Non-Binary Decline to State Race/Ethnicity* American Indian or Alaskan Native Asian Black Hispanic or Latino Native Hawaiian or other Pacific Islander White Decline to state Are you a veteran or spouse or a spouse of a veteran?* Yes, veteran Yes, spouse No Which program would you like to volunteer for? Delivery Operations Meals are delivered Mondays, Wednesdays, Thursdays, and Fridays between 10:45 am and 1:45 pm. Operations volunteers are needed Monday-Friday between 9am-2pm.Days Available: Please check as many as you like.* Monday (Delivery) Monday (Operations) Tuesday (Operations) Wednesday (Delivery) Wednesday (Operations) Thursday (Delivery) Thursday (Operations) Friday (Delivery) Friday (Operations) 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?*How did you hear about Meals on Wheels West?* Instagram Facebook Twitter LinkedIn TikTok Word of Mouth Google Volunteer Match Volunteer Collective Volunteer AgreementAs a volunteer for Meals on Wheels West I agree to the following terms and conditions: 1. I agree to be fully vaccinated for COVID-19. 2. I will follow MOW West COVID protocols including wearing a mask and social distancing as instructed. 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.NameThis field is for validation purposes and should be left unchanged.