|What day(s) are you available for volunteering? *|
|Which area(s) are you interested in volunteering? *|
Please List Two References
|First Reference Name: *|
|First Reference Phone: *|
|Second Reference Name: *|
|Second Reference Phone: *|
Special Skills or Qualifications
|List special skills and qualifications you have acquired including hobbies or sports that you would be willing to share:|
Previous Volunteer Experience
|Summarize your previous volunteer experience. *|
|Have you had a DUI or DWI within the last ten years: *|
Emergency Contact Information
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
Consent - Photographic Release
I hereby authorize Pickens County Meals on Wheels to release any photographs
taken of me for any purpose related to the promotion and well-being of
Pickens County Meals on Wheels including,but not limited to
newspapers, magazines, presentations and television.
By electroinically submitting this application, I affirm that the
facts set forth in it are true and complete. I understand
that if I am accepted as a volunteer, any false statements,
omissions, or other misrepresentations made by me
on this application may result in my dismissal.
Furthermore, I grant permission to share my contact information
with other Pickens County Meals on Wheels volunteers
for the sole purpose of matters relating to Pickens County
Meals on wheels.