Volunteer with Meals on Wheels

If you are interested in supporting our program, please fill out the form below. Without volunteers, our Meals on Wheels program would not exist. If you have any questions, or in the event that you need any assistance, please feel free to contact Beverly McCard, Meals on Wheels Coordinator, at 478-745-9140.

Name:
Address:
Home Phone:
Work Phone:
Do you have a valid Georgia Driver's License? Yes No
Do you have any health limitations that could affect your volunteer effort? Yes No If yes, please explain.
Have you ever been convicted of a crime other than minor traffic violations? Yes No If yes, please explain.
Please fill in the days you will be available to deliver Meals on Wheels (between 10:30 am and 12:30 pm. Monday Tuesday Wednesday Thursday Friday
Hobbies & Interests: