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Name and Address

Contact Details





Enter the two letter abbreviation.




Phone and Email Information







Volunteer Preferences

Volunteer Interests

Select one or more.







Volunteer Code of Ethics

  • I agree to abide by the rules and regulations of Meals on Wheels Central Texas (MOWCTX) to the best of my ability.
  • I agree to respect the privacy and confidential nature of my personal contacts with clients, by not discussing or divulging names, addresses, and situations to anyone except the appropriate MOWCTX staff.
  • I understand the importance of notifying Meals on Wheels Central Texas in advance if I cannot perform my volunteer job.
  • I agree to keep a CURRENT Driver's License, a valid inspection sticker, and up-to-date liability insurance coverage on my vehicle, as required by the Texas Department of Public Safety (drivers only)

By typing my name below I am agreeing to the following:

I will assume all risks, hereby release, hold harmless and forever waive any and all rights for claims or damages I may have against Meals on Wheels Central Texas and its sponsors, and all their respective officers, directors, contractors, managers, clients, employees, and volunteers of the organization for any and all injuries, losses, claims, damages, judgments, liabilities, actions or causes of action sustained by me as a result of my participating as a Meals on Wheels Central Texas volunteer or if conducting additional interactions with MOWCTX clients outside of my volunteer role.  

Additionally, I acknowledge and agree that Meals on Wheels Central Texas is not responsible for any pets, minors, or other persons that I may bring along with me on my route, and I will assume full responsibility for the safety and well-being of these individuals or animals.
Meals on Wheels Central Texas cares about your privacy. All volunteer information supplied will remain within our organization and will not be shared with any outside parties. Your personal information will not be sold, distributed, or published in any manner whatsoever.

Authorization

Legal Name and Birthdate




Enter date in mm/dd/yyyy format
I UNDERSTAND THAT FOR MEALS ON WHEELS CENTRAL TEXAS TO PROTECT VULNERABLE CLIENTS THE FOLLOWING VERIFICATION AND CHECKS WILL BE CONDUCTED AS PART OF THE VOLUNTEER REGISTRATION PROCESS:

• Driver’s License
• Criminal Background History
• Department of Aging and Disability Services Nurse Aide Registry
• Department of Aging and Disability Services Employee Misconduct Registry

I give my permission to Meals on Wheels Central Texas to perform these required checks. I understand that the information provided below will be kept confidential and used for the sole purpose of verifying identification and checking required records. Any information obtained by the organization will also be strictly confidential.
If I dispute one of the above records, I will have an opportunity to request another review.





Electronic Signature

By typing my name below, I am signing this application electronically. I agree that this electronic signature is the legal equivalent of my manual signature on this application.


After submitting this form, you will be directed to a calendar to select a convenient time for volunteer orientation. Just select a time that fits your schedule!

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Contact Information