Volunteer Application

Name *

First Name

Last Name

Address *

Address Line 1

Address Line 2

City

State

Zip

Email *

I opt in to receiving email updates *

Yes
No

Phone *

Cell Phone Provider *

I opt in to receiving text updates *

Yes
No

Birthday *

Volunteer Interests *

Driver
Friendly Visitor
Food Packer

Volunteer Days Available *

Monday
Tuesday
Wednesday
Thursday
Friday

Volunteer Locations *

North / West Long Beach
East Long Beach
Downtown / Coastal Long Beach
Signal Hill
Leisure World Seal Beach
Lakewood

What other languages do you speak?

Are you a student? *

Yes
No

How did you hear about us?

Social Media
Google or other ad services
A current volunteer
Word of mouth
Other

Any additional information we should know? *

Volunteer Agreement *

As a volunteer for Meals on Wheels Long Beach I agree to the following terms and conditions: 1) When I arrive to volunteer, I will be dressed in appropriate clothing, have good personal hygiene, and always wear a shirt and closed toe shoes. 2) If I am a driver I will provide a current and valid driver’s license and proof of current car insurance. As a volunteer driver for MOWLB, I agree to obey all traffic and parking laws, including cell phone usage while driving. I will not bring my pet on the delivery route, unless I provide required documentation for service animals. 3) I agree to keep all information regarding clients confidential and not share 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 delivering meals as a volunteer, I will keep the meals in the insulated delivery bags and coolers for as long as possible to maintain the temperature and integrity of the food. 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, I may be subject to suspension. 8) I will report to my volunteer coordinator any unsafe situations that I observe in the client's home. 9) In an emergency, I will immediately call 911. Then I will call the office and wait with the client until help arrives. I will not move a fallen or injured client and I will not administer any medication. By signing below, I agree to the terms and conditions above. I agree to indemnify and hold Meals on Wheels of Long Beach 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 of Long Beach.