Ann Arbor Meals on Wheels Volunteer Application

Demographic Information

Citizenship and Visa Information
NOTE: Please upload a copy of your visa and at least one form of supporting documentation.

Employment/Education (If Relevant)

Primary Emergency Contact

Secondary Emergency Contact

Volunteering Information

Below are the current volunteer opportunities with Ann Arbor Meals on Wheels.

  • Delivering Meals: Delivery of fresh prepared meals to AAMOW clients and provision of a safety/wellness check for clients in their homes
  • Yard Clean-Up: Spring and Fall yard clean up at client homes
  • Community Engagement Group: Quarterly in-person/virtual meetings for program updates and feedback with AAMOW stakeholders

References

Please give three character references that can respond to our inquiry about you. References can be work, academic, or personal contacts that have known you for a minimum of 6 months.

 

Reference #1


Reference #2

(copy)

Reference #3

Authorization for Criminal Records Check

Attestation

 As a volunteer of Ann Arbor Meals on Wheels, I understand that the University of Michigan/Michigan Medicine is not responsible for any damage sustained to my vehicle or injuries incurred during the meal delivery process, and my personal automobile and/or health insurance will be responsible.

Certification

 

I certify that my answers are true and complete to the best of my knowledge. I agree that this information has been verified and references may be contacted by AAMOW or Michigan Medicine Volunteer Services. 

I, the undersigned, authorize the University of Michigan, on behalf of Michigan Medicine, to conduct a criminal history check and review of the Federal Exclusion Lists. These checks will be performed to evaluate whether I am qualified to volunteer at the University of Michigan.

I understand that Michigan Medicine will contract with an outside vendor to conduct these investigations utilizing names and identifiers to determine the existence of any arrest resulting in conviction and furnish a response to Michigan Medicine.

I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for volunteering will not be processed further.

 

Misrepresentation of facts constitutes cause for separation from Volunteer Services.

 

Thank you for your interest in volunteering with Ann Arbor Meals on Wheels! Please click the button below to submit your application. Upon submission of your application, please allow five (5) business days for processing.