Contact

Volunteer Application

* First Name * Last Name
* Email
* Phone Number * Phone Type (why is this needed?)
* Are you a Student?
* Convicted of Felony?
   Yes    No
   Yes    No
* Address
* City * State * Zip
* Age * Volunteer Area * Interested in volunteering as * Available Days * On-Call Days (if any)
Under 18
18 - 60
Over 60
North
East
Downtown
Leisure World
Driver
Friendly Visitor
Food Packer
Office Support
Monday
Tuesday
Wednesday
Thursday
Friday
Monday
Tuesday
Wednesday
Thursday
Friday
* How did you hear about Meals on Wheels of Long Beach?
For emergency, please notify: Phone Relationship to you