• Meals on Wheels Driver

    Thank you for your interest in volunteering with us! Please complete the form below so we can learn more about you!

  • PERSONAL INFORMATION

  •  -

  • AVAILABILITY & COMMITMENT

  • Days Available (check all that apply):*

  • EXPERIENCE & MOTIVATION

  • CLEARANCES & COMPLIANCE

    (To be completed prior to beginning volunteer duties)

  • I will obtain a Level One Fingerprint Clearance Card*
  • I will complete a Central Registry Background Check*
  • I confirm I have a valid AZ Driver’s License*
  • I maintain current auto insurance & vehicle registration*
  • I am comfortable working independently and can follow route directions.*

  • ACKNOWLEDGMENT & SIGNATURE

  • I affirm that the information provided is accurate and complete. I understand and agree to fulfill all volunteer requirements as outlined by the Verde Valley Senior Center’s Meals on Wheels program. I authorize the Verde Valley Senior Center to conduct background checks as necessary.

  • Date*
     - -
  • Should be Empty: