Volunteer Profile Sheet

Cabarrus Meals on Wheels Volunteer Profile

Date:                                NC Driver's License Number

Last Name:  First Name: Mr. Mrs.Ms.

Spouse Name:

Address:

City:   State: Zip:

Home Phone:   Work Phone:   Date of Birth:

Email address:

Employer/Occupation:

Retired: From:

 Gender: Male  Female          Ethnic: Caucasian African American Hispanic/Latin Asian Other        

Emergency Contact Name:         

                                                Relationship   Daytime Phone:

Other volunteer work:

How did you hear about us? News  Friend  Church  Other

Will you deliver with a partner?No  Yes, with

Are you available to be called as a substitute driver?  Yes  No

Please list name(s) and birthdates of all children who will deliver with you

Name:  Date of Birth:

Name:  Date of Birth:

Name:  Date of Birth:

We ask for a 6 month commitment.  Are you able to commit to this? Yes  No

Why did you choose to volunteer with Cabarrus Meals on Wheels at this time?

What days are you available?  Monday Tuesday Wednesday Thursday Friday

How many times per month are you able to deliver?

Would you be interested in helping promote Cabarrus Meals on Wheels through your church or civic group by public speaking, pamphlet handout, volunteer recruitment or fundraising?  In what area?

References:  Please note if personal, professional or educational:

Name: Phone:

Name: Phone:

Volunteer Agreement

        Date:

                                Volunteer Signature

 

For Office Use:

 

Start Date: _______________________________Code_______________

 

Volunteer Assignment: _________________________________________

 

 

Please submit or print out and mail to:                Or Fax: 704-788-2989

    Cabarrus Meals on Wheels

    320-C Copperfield Blvd.

    Concord, NC  28025

 


Author information goes here.
Copyright © 2003 [OrganizationName]. All rights reserved.
Revised: 04/26/08
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Aug. 28, 2007
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Bates
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Marjorie
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ON
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deceased
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508 Montgrove Pl, NW
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3 Oct 2007
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26216847
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Gollinger
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Scott
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ON
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15715 Trenton Place Rd.
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Huntersville
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NC
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28078
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704-699-0988
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704-783-1014
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20 Mar 1957
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sgollinger@mac.com
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NorthEast Medical Center
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ON
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704-783-1014
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ON
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ON
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ON
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ON
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4-5
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S1

To gfive something back to the community. To get more familiar with United Way charities.

S2

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11/7/07
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Smith
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Christy
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ON
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T5:
Jay
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4161 Center Place Dr
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Harrisburg
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NC
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28075
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704-763-9198
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3/20/76
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cd_smith30@hotmail.com
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N/A
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ON
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ON
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Jay Smith
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Spouse
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704-451-5108
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ON
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ON
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ON
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ON
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ON
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4
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Stephanie Breon (Personal)
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No thank you.

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11/7/07
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Smith
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Christy
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ON
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Jay
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4161 Center Place Dr
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Harrisburg
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NC
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28075
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704-763-9198
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3/20/76
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cd_smith30@hotmail.com
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N/A
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ON
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ON
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Jay Smith
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Spouse
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704-451-5108
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ON
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ON
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ON
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N/A
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ON
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ON
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4
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Stephanie Breon (Personal)
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Laurie Pluck (Personal)
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704-357-8020
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Wanted to give something back to the community.

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No thank you.

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12/11/2007
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31407525
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Richardson
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Jamie
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ON
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5882 Brookstone Drive
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Concord
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NC
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28027
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704-795-3445
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02/22/1962
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doodle9298@aol.com
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currently unemployed
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ON
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ON
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Gerry Richardson
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mother
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704-795-1190
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ON
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ON
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ON
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ON
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ON
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once a week (4)
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Cheryl Humphrey (professional and personal)
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757-681-6388
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John Rose (professional)
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704-968-5886
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Jamie Richardson
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12/11/2007

S1

An elderly friend volunteered with Meals on Wheels in Chesapeake, VA for many years. In her memory and to assist other elderly people, I would like to do what I can.

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I am not a member of any church or civic group, yet would be glad to assist in anyway possible

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April 19, 2008
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Canady
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Jeremi
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ON
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none
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515 Walter Street
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Kannapolis
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NC
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28081
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704-938-1489
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11/04/1989
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none at present
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ON
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ON
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Jaki McCalvin
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Aunt
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980-622-5989
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ON
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ON
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my cousin or aunt
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ON
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ON
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ON
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ON
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Four days
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Brittany Simpson
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704-224-9050
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Jaki McCalvin
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980-622-5989
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Jeremi E Canady
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04/19/2008

S1

I want to help people. I want to do something I can be truly proud of.

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S1

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S2

8kj0Bm <a href="http://lgabkposbrju.com/">lgabkposbrju</a>, [url=http://xdvacguduwgu.com/]xdvacguduwgu[/url [link=http://bitetoeefofe.com/]bitetoeefofe[/link http://aqaqyvrbcuef.com/