Become a Volunteer

1. PERSONAL INFORMATION
Please contact me via *
I am applying as *
Preferred pronoun *
Name *
Name
Address *
Address
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Date of birth *
Date of birth
Please note this question is a bona fide requirement for completing the rest of the screening process, specifically the police check.
Job status *
Please list any medical or physical conditions that may limit your ability to perform tasks as outlined in the Volunteer Job Description or any conditions that you would like Calgary Meals on Wheels staff to be aware of for your safety? (For example: bad back, bad knees, epilepsy, heart problems, asthma, diabetes, etc.)
2. EMERGENCY CONTACT INFORMATION
Emergency contact name *
Emergency contact name
Emergency contact phone number *
Emergency contact phone number
For example: mother, employer, friend
3. TELL US MORE ABOUT YOURSELF
Have you volunteered before? *
4. VOLUNTEER INVOLVEMENT
What position(s) are you interested in? *
Choose as many as apply
Days available *
Please choose as many as apply
How often can you volunteer? *
5. PLEASE LIST 2 REFERENCES
Reference 1 Name *
Reference 1 Name
Reference 1 Phone *
Reference 1 Phone
Reference 2 Name *
Reference 2 Name
Reference 2 Phone *
Reference 2 Phone
6. WAIVERS
Information waiver *
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.
Have you ever been charged or convicted of an offense or had any incidents with the law? *
Collection and Protection of 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 organization/company. 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.
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 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.
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.
Personal Conduct *
I will conduct myself in a manner condusive 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.
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 *
Volunteer Application Process *
A Police Information Check (CPIC) is required in order to be considered as a volunteer. I authorize Calgary Meals on Wheels to release my name and date of birth to the police department, for the purpose of the police information check. I agree to carry out my volunteer tasks in a reasonable and safe manner and understand that I need to undergo proper training for my volunteer position. I understand that part of the application process includes reference checks and I authorize Calgary Meals on Wheels to contact my references. I give Calgary Meals on Wheels permission to take and use my picture solely for the purpose of the volunteer nametag. I understand that I need to complete all components of the volunteer application process in order to be eligible as a volunteer. 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 including a clean police check.
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.
Email *
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.
Membership *
You are given the opportunity to be a 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:
Declaration *
I hereby certify that the above information is true and complete to the best of my knowledge.
Please indicate the date of submission *
Please indicate the date of submission