Meals on Wheels Volunteer Application - United Way of Central Alabama

Help provide nutritious meals, meaningful connection and peace of mind to older adults and people with disabilities in Jefferson County.

Make a Difference for a Neighbor

Meals on Wheels volunteers help older adults and people with disabilities remain nourished, connected and supported in their homes. For many meal recipients, a volunteer’s friendly visit is just as meaningful as the meal itself.

Volunteer opportunities are currently available Monday through Friday. Meal deliveries take place around lunchtime, while kitchen and meal-packing shifts are generally available from 8 a.m. to noon. Volunteers are asked to serve at least once per month.

Complete the application below to tell us about your interests, availability and preferred service area. Our team will review your information and contact you about orientation, required screening and next steps.

There are several ways to serve:

Deliver meals to neighbors along a designated route.
Pack meals or assist in the kitchen on weekday mornings.
Stock and pack pantry items for Meals on Wheels clients.
Deliver food pantry items to clients in the community.

Volunteer with Meals on Wheels

This field is for validation purposes and should be left unchanged.

Before applying: All volunteers must complete a background screening before serving. We are unable to accept individuals completing court-ordered community service or participating in a drug- or alcohol-related treatment program. Additional eligibility requirements are included in the application.

Name(Required)

Address(Required)

Street Address City State ZIP Code

Date of Birth(Required)

Cell Phone(Required)

Home Phone

Email Address(Required)

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How Did You Hear About Us?

How did you hear about Meals on Wheels?

Social media

Friend or family

UWCA event

Employer or workplace

Volunteer website

Other

Volunteer Eligibility

Are you volunteering as part of court-ordered community service or as part of a drug or alcohol treatment program?(Required)

Please note, we do not accept court-ordered volunteers, including those as part of drug or alcohol-related treatment programs.

Yes

Have you ever been convicted of a felony or do you have pending felony charges?(Required)

Please note, if you have any felony convictions or charges pending, you are not eligible to volunteer with United Way Meals on Wheels.

Yes

Communication Preferences

How would you prefer that we contact you?(Required)

Phone

How would you prefer to receive reminders?(Required)

Phone Call

Emergency Contact Information

Emergency Contact Name(Required)

Emergency Contact Relationship(Required)

Spouse, friend, etc.

Emergency Contact Phone(Required)

Emergency Contact Email

Volunteer Information

Are you volunteering as an individual or as part of a group?(Required)

Individual

Group

If group, please provide the additional information

Group Name

Group Contact Name

Group Contact Phone Number

Group Email

Volunteer Opportunities

How would you like to volunteer? Select all that apply.

Meal Delivery (M-F during lunch)

Meal Packer/Kitchen Aide (M-F, 8 a.m. to 10 a.m.)

Pantry Packing (Stocking pantry at MOW kitchen)

Food Pantry Delivery

Schedule Availability

Please note: MOW delivery and kitchen-related activities are available only M-F at this time. The delivery of meals is during the lunch hour(s).

What days would you like to volunteer?

Monday

Tuesday

Wednesday

Thursday

Friday

How often would you like to volunteer?

Minimum commitment of one day per month.

Once/month

Twice/month

Once/week

Other

Do you have a preferred schedule?

Preferred Delivery Areas

Where are you willing to travel for a volunteer assignment?

Check all that apply. We currently have 68 delivery routes; some examples are included below.

No preference; (put me where I am most needed)

Birmingham City (Forest Park, Crestwood, Kingston)

Eastern Jefferson County (Irondale, Roebuck, Center Point, Huffman, Trussville)

Southern Jefferson County (Homewood, Vestavia, Hoover)

Northern Jefferson County (Fultondale, Gardendale, Tarrant)

Western Jefferson County (Bessemer, Fairfield, Midfield, Hueytown, Pleasant Grove)

If you would like to volunteer within a specific neighborhood, please indicate which one(s):

Driver's License and Insurance Information

Note: This section is required for drivers only.

DL Number

State

Auto Insurance Company

Policy Number

Policy Expiration Date

Our Policies

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual orientation, age or disability. All volunteers must complete a background screening prior to serving in the program. We do not accept volunteers through court-mandated community services.

Agreements and Signature

I. AGREEMENT to MAINTAIN CONFIDENTIALITY and REPORT

I understand that, as a volunteer, I am required to maintain the confidentiality of clients’ personal health information and the conduct of their personal lives. I also understand that I need to report to United Way of Central Alabama, Inc. (UWCA) any client situations that are potentially life-threatening or indicative of adult abuse. I will also notify my supervisor of any client requests and/or concerns regarding food products, preparation and/or delivery.

II. AGREEMENT to HOLD HARMLESS

I agree to carry insurance on my automobile in an amount that is sufficient to satisfy any reasonably foreseeable claim which may arise out of my duties and responsibilities as a volunteer for MOW and to provide proof of insurance to MOW upon request.

III. AGREEMENT to COMPLY with FOOD SAFETY and SANITATION GUIDELINES

I agree to keep the cold foods in the cold container and the hot foods in the heated container until I have safely delivered the packaged food into the client’s home. I also agree to wash my hands with hot soapy water before opening the containers for any client needing my assistance. I agree to comply with food delivery guidelines provided by MOW.

Consent(Required)

By 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 immediate dismissal.

Name(Required)

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Date

Interview/Photography Consent

I hereby consent to be interviewed, videotaped, photographed or otherwise have my image or voice recorded by the United Way of Central Alabama, Inc. (UWCA) or any other media representative concerning the operation of the UWCA, any of its agencies, programs or activities, and my participation therein. I hereby give UWCA an absolute and irrevocable right and permission to use any interview, videotape, photograph, or other recording of me or about me in any manner whatsoever, including, but not limited to, the UWCA’s right to reuse, publish and republish said interview, videotape or photograph or any other information about me in whole or in part, individually or in conjunction with other information in any medium whatsoever. On behalf of myself, my family, my heirs, executors and assigns, I hereby release and discharge UWCA from any and all claims, liability or demands of whatsoever kind or nature arising out of, or in connection with, the use of any interview, videotape or photograph which I have consented to herein.

Note: If you have questions or concerns about this consent, please contact the Meals on Wheels Volunteer Coordinator at [email protected]

Consent(Required)

I have read and agree with the above terms.

I have read the statement above and fully understand its contents.

Name(Required)

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Date

Deliver More than a Meal

Make a Difference for a Neighbor

Volunteer with Meals on Wheels

Volunteer Eligibility

Communication Preferences

Emergency Contact Information

Volunteer Information

Schedule Availability

Preferred Delivery Areas

Driver's License and Insurance Information

Our Policies

Agreements and Signature

I. AGREEMENT to MAINTAIN CONFIDENTIALITY and REPORT

II. AGREEMENT to HOLD HARMLESS

III. AGREEMENT to COMPLY with FOOD SAFETY and SANITATION GUIDELINES

Interview/Photography Consent