Volunteer Application

Meals from the Heartland provides excess volunteer accident insurance to pay for medical expenses incurred by a volunteer from an injury arising out of or in the course of volunteering at Meals from the Heartland. The insurance does not replace or compensate for any loss of wages should a volunteer-related injury prevent a volunteer from carrying out duties associated with paid employment outside Meals from the Heartland. Volunteers must report any volunteering-related injury immediately (or within 24 hours) to the work supervisor and/or volunteer coordinator so that the necessary paperwork can be completed in a timely manner.

All volunteers are expected to use reasonable caution when carrying out tasks. No one should be volunteering while under the influence of alcohol, drugs or inappropriate use of medications that might impair their ability to perform activities safely or present a safety hazard to others.

Be checking "I agree" you hereby acknowledge that you understand and are aware of the potential risks of personal injury and property damage which can or may occur and that you assume all such risks and take responsibility for your safety while volunteering at Meals from the Heartland. This agreement is binding on all heirs, representatives and assigns.

By checking "I agree" you certify that you have read this document, understand its terms and provide it to Meals from the Heartland with the intent that Meals from the Heartland rely upon it.

By checking "I agree" you are certifying that the information provided in this application is true and complete. You understand that submitting this application form does not automatically register you as a volunteer for Meals from the Heartland and that there may be certain qualifications to be met. It also indicates that you acknowledge that you will not be paid for your services as a volunteer at Meals from the Heartland. You are aware that one of the responsibilities as a volunteer is to record volunteer hours and turn them in on a regular and timely basis and that you may be asked to complete a background check. You also acknowledge that Meals from the Heartland may record, film, photograph, audiotape or videotape your name, image, likeness or volunteer work and grant permission for these to be displayed, published, distributed or exhibited for purpose of and in connection with any materials that may be created by Meals from the Heartland.

The personal information you provide on this form will not be shared without your consent. Your contact information is stored securely and only used to administer Meals from the Heartland volunteer program. Please note that you may be contacted using this information by a staff member or designated volunteer to gather feedback about your experience with our program.

Volunteers are very important to all aspects of Meals from the Heartland. Your interest and support are appreciated.

FOR VOLUNTEERS UNDER AGE 18 - The signature of a parent or guardian is required in addition to your own.