Become a Volunteer

I am applying as *

An individual

A company

Name *

First Name

Last Name

Home Phone *

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Cell Phone *

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of birth *

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DD

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Emergency contact name *

First Name

Last Name

Emergency contact phone number *

(###)

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Reference 1 Name *

First Name

Last Name

Reference 1 Phone *

(###)

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Reference 2 Name *

First Name

Last Name

Reference 2 Phone *

(###)

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Job status *

Student

Employed

Not employed (currently)

Not employed (permanently)

Self-employed

Retired

Do you have prior volunteer experience with other organizations? *

Yes

No

How did you hear about us? *

Friends/Family/Word of Mouth

Third Party (ex: Volunteer Connector)

Our Website

Social Media

What position(s) are you interested in? *

Check all that apply

Meal delivery - driver

Meal delivery - courier (Passenger with Staff Driver)

Meal delivery - Adopt-a-Route (business/organizations only)

Special Events

Committee or Board member

Administration

Production

Do you have experience with any of the following: (check all that apply)

Computer / Database Experience

Reception Experience

Commercial Kitchen Experience

Do you have a current Police Check from the last 12 months? *

If not, we will provide you with a letter that will waive the fee. Please wait for further instruction before submitting a new one

Yes

No

Days available *

Check all that apply. Please Note: Meal Delivery hours are 10:30am – 1:00pm. General office hours are 7:30am – 3:00pm. General production hours are 6:00am – 2:00pm. Some projects will have specific timing; others will be more flexible

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

How often can you volunteer? *

Weekly

Every other week

Monthly

Spare/Occasionally

Seasonally

Are you available from 10:30AM-1:00PM for meal delivery on your available days? *

Yes

No

N/A (not applying for meal delivery role)

CONVICTIONS: Have you ever been charged or convicted of an offence or had any incidents with the law? *

Yes

No

VEHICLE USAGE: As a volunteer, I understand that Calgary Meals on Wheels does not insure personal vehicles belonging to volunteers and the use of my vehicle is at my own risk. I agree that I am solely responsible for my own personal property and vehicle. I also understand that any parking tickets or fines accrued while volunteering with Calgary Meals on Wheels will not be the responsibility of Calgary Meals on Wheels. I have read, understand, and agree. *

Yes - I have read, understand and agree

PERSONAL CONDUCT: I will conduct myself in a reasonable and safe manner conducive to the well-being of Calgary Meals on Wheels and will treat all Calgary Meals on Wheels clients, volunteers, staff, and donors with dignity and respect. I have read, understand, and agree. *

Yes - I have read, understand and agree

HARASSMENT: Calgary Meals on Wheels has a zero-tolerance policy towards abuse and harassment. I understand abuse or harassment to clients, staff, community members or other volunteers will not be tolerated. I have read, understand, and agree. *

Yes - I have read, understand and agree

MEDIA CONSENT: I understand that while volunteering for Calgary Meals on Wheels, my image may be reproduced, edited, and used in whole or in part for any and all media including, without limitation, print, audio-visual, multi-media, and/or exhibition purposes, in any manner, in perpetuity and throughout the world. I understand and agree that I have no rights to any benefits derived from any such image. *

Yes - I have read, understand and agree

No - I do not want to be included in any media. (Please note, all Meal Delivery volunteers require a photo name tag, so I give Calgary Meals on Wheels permission to take and use my picture solely for this purpose, if applicable to my volunteer role.)

EMAIL PERMISSION: I understand that Calgary Meals on Wheels uses email as an official means of communication with its volunteers. If provided with this application, I understand my email address will be used to communicate with me. Examples of such communication include monthly volunteer e-newsletter, quarterly general e-newsletter, invitations, etc. I have read, understand, and agree. *

Yes - I agree

No - please do not add me to any email lists (please note by checking no you can miss important volunteer information)

MEMBERSHIP: You are given the opportunity to be a complimentary member of the Society and each year be granted a voting membership for the following year and be added to the Register of Members of the Society. This will entitle you to all of the rights and obligations as defined in the Bylaws of Calgary Meals on Wheels. I would like to become a member: *

Yes

No

REFERENCE INFORMATION: I waive the right to request disclosure of the personal reference information given about me by the individuals indicated here and authorize the listed references to be contacted by Calgary Meals on Wheels. I have read, understand, and agree. *

Yes - I have read, understand, and agree.

PERSONAL INFORMATION: Volunteer information is held in the strictest of confidence. I understand that my personal information will not be used or disclosed for purposes other than those for which it is collected or as required by law and that Calgary Meals on Wheels’ contact list is neither given nor sold to any other third party. Information is stored within the agency’s database and is only accessed by authorized users. Hard copy personal information is stored in locked file cabinets. I have read, understand, and agree. *

Yes - I have read, understand, and agree.

APPLICATION PROCESS: All components of the volunteer application process must be completed to be eligible as a volunteer. The process varies by volunteer position but may include an application, police check*, interview, reference check, orientation, and training. Calgary Meals on Wheels reserves the right to refuse any potential volunteer who does not meet the stated criteria and qualifications as outlined in our policies. *All Meal Delivery Volunteers require a clear Police Information Check (PIC), including Vulnerable Sector Check. I authorize Calgary Meals on Wheels to release my name and date of birth to Calgary Police Services or my local police agency, as needed for this purpose. I have read, understand, and agree. *

Yes - I have read, understand and agree

WAIVER: I waive and release any and all claims for myself, my heirs, executors, and administrators against Calgary Meals on Wheels, its agents, employees, and licensees in conjunction with any injury, illness or death which may directly or indirectly result from my participation in volunteering for Calgary Meals on Wheels. I have read, understand, and agree. *

Yes - I have read, understand and agree

DECLARATION: I hereby certify that the above information is true and complete to the best of my knowledge. I have read, understand, and agree. *

Yes - I have read, understand and agree

Please indicate the date of submission *

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