Meal Delivery - Volunteer Application

Welcome, and thank you for your interest in becoming a Sixty and Better volunteer or volunteer group.

As a Meal Delivery Volunteer, you or your group will distribute meals and help Sixty and Better maintain a vital lifeline to older adults who would normally attend their neighborhood older adult Activity Center.

Step 1: Fill out the Volunteer Form below
Step 2: A Sixty and Better staff member will contact you to discuss next steps

Please be aware of the following:

All volunteers must be able to pass a Criminal Background Check
All volunteers must have a valid drivers license and provide a reliable vehicle for meal delivery
All volunteers must undergo orientation and training before beginning volunteer service
All volunteers must be able to lift 10 or more pounds
All volunteer opportunities are Monday - Friday during the workday
This is a volunteer position and not a paid position
This volunteer position may be terminated at any time
All information concerning Sixty and Better and participants is strictly confidential
By submitting this application, you agree to hold harmless Sixty and Better, its employees, directors, officers, trustees or agents from all claims and damages arising from participation in the program

If you have any questions or would like more information please call 817-413-4949 or email Info@SixtyAndBetter.org.

Volunteer Type *This question is required.

Group/Organization Name

Have all employees completed a background check? *This question is required.

First and Last Name

First Name

Last Name

Group/Organization Primary Contact

First Name

Last Name

Job Title

Email address

Phone Number *This question is required.

Phone Number

Phone Type

Preferred Contact Method

Address

Street Address

Apt/Suite/Office

City

State

Zip *This question is required.

Birthdate *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Gender

Are you a veteran?

Employer/Organization/School Attending

Job Title

List any languages, other than English, that you speak:

Are there any physical conditions that might influence your ability to deliver meals?

If yes, please explain:

Was there a specific meal delivery date and/or location your group was interested in?

Was there a specific meal delivery date and/or location you were interested in helping with?

Meal Delivery Date(s)

Location

When are you available? Please note meal delivery volunteer opportunities are available weekday mornings.

Space Cell	Monday	Tuesday	Wednesday	Thursday	Friday
Morning	Morning: Monday	Morning: Tuesday	Morning: Wednesday	Morning: Thursday	Morning: Friday
Afternoon	Afternoon: Monday	Afternoon: Tuesday	Afternoon: Wednesday	Afternoon: Thursday	Afternoon: Friday

When is your group/organization available? Please note meal delivery volunteer opportunities are available weekday mornings.

Space Cell	Monday	Tuesday	Wednesday	Thursday	Friday
Morning	Morning: Monday	Morning: Tuesday	Morning: Wednesday	Morning: Thursday	Morning: Friday
Afternoon	Afternoon: Monday	Afternoon: Tuesday	Afternoon: Wednesday	Afternoon: Thursday	Afternoon: Friday

Please indicate your area of choice

Please indicate your area of choice *This question is required.

Approx. Number of Volunteers

Person to notify in case of emergency *This question is required.

Relationship of emergency contact *This question is required.

Phone number of emergency contact *This question is required.

How did you learn about Sixty and Better?

Would you like email updates about Sixty and Better?

Additional Comments