Volunteer Application

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Volunteer Application

Name_________________________________Today’s Date______________________
Phone Number_________________________________________________________
Mailing Address________________________________________________________

What volunteer assignment(s) are you interested in?

_____Front Reception Desk _____Meals on Wheels Driver


_____Bazaar Volunteer _____Food Service Special Events
_____Driving to Medical Appointments _____Computer Monitor
_____Gift Shoppe _____Special Events
_____General Maintenance _____Information Desk
_____Lunch Cashier _____ Luncheon Assistant
_____Meals on Wheels Coordinator Substitute _____Supermarket Pick-Up Person
_____ Short-Term Position _______________________________________________
_____ Skilled Volunteer Position___________________________________________
Other______________________________________________________________

Please list any special skills, experience, or interests you have:


_____________________________________________________________________

Please indicate the hours you are available to volunteer:


Monday ________________________ Thursday _________________
Tuesday ________________________ Friday _________________
Wednesday _____________________ Weekends _________________

In case of emergency, notify:


Name___________________________ Phone Number________________________

License and Insurance Information


(To be completed by Meals on Wheels and Transportation volunteers only.)

Driver’s License Number __________________ Model and Make of Car ___________________

*Volunteers under the age of 18, Please have parents complete


the authorization form.
Please mail or drop off your completed application to: Newark Senior Center
200 White Chapel Dr. Newark, DE 19713 attention: Jessica Snow and we will contact
you as soon as possible!

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