Volunteer Application (Under 55)

This enrollment application is for volunteers under age 55. Please complete all sections. If you are 55 or over please use the RSVP form.
Name(Required)
(Required)
Date of Birth(Required)
Emergency Contact
Morning Availability
Afternoon Availability
Please feel free to provide any additional information that might help us learn more about you, so that we can match you to the best volunteer opportunity:
The following demographic information is optional.
Gender
Race
Ethnicity
Marital Status
Military
Are any of your family members actively serving in the military?

Agreement(Required)
Date(Required)

For Home Delivered Meals or OASIS Companion Program ONLY

Please fill out the below lines if you are volunteering for the Home Delivered Meals or OASIS Companion programs.

If not, you may skip them and click the SUBMIT button below to send your application.

License Expiration Date
Insurance Expiration Date
This field is for validation purposes and should be left unchanged.
2222 South College Road • Wilmington, NC 28403 • Phone 910-798-6400 • Fax 910-798-6411
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