Volunteer Application | Pickens County Meals on Wheels

Section 1 of 6

Your Information

First name *

Last name *

Street address *

City *

State *

Zip code *

Email *

Phone number *

Date of birth *

Gender *

FemaleMale

Employer *

Church affiliation *

Section 3 of 6

Two References

Please provide two references who are not family members.

Reference 1

Name *

Phone *

Email *

Reference 2

Name *

Phone *

Email *

Section 4 of 6

Skills & Experience

Special skills or qualifications *

Previous volunteer experience *

Section 5 of 6 · Drivers only

Driving Eligibility

Skip this if you’re not interested in driving a meal route.

Have you had a DUI or DWI within the last ten years?

NoYes

If you plan to drive a route, please bring a copy of your driver’s license and current insurance card to your orientation. Katie will collect them in person.

Section 6 of 6

Emergency Contact

Full name *

Street address *

City *

State *

Zip code *

Phone number *

Final step

Send your application

We’ll respond within a few business days to schedule your orientation.

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Tell us a little about you.

Your Information

Availability & Interests

Two References

Skills & Experience

Driving Eligibility

Emergency Contact

Send your application