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Meals on Wheels Volunteer Application

  1. 65 Mount Hope Road Rockaway, NJ 07866
  2. Department of Community Services

    Bryan Coward, Director of Recreation

  3. Peter N. Tabbot, Health Officer / R.E.H.S
  4. Volunteer Resume / Application

    To protect the safety and security of those we serve Rockaway Township will conduct reference and background checks for all potential volunteers. Your signature on the Authorization of Disclosure form authorizes Rockaway Township to conduct a background check to obtain information through criminal record inquiries, public records, and driving record. 

    The Authorization of Disclosure form will be completed in person. 

  5. Please indicate the Route you would like to deliver:
    Meals on Wheels delivers hot meals to individuals along two routes in Rockaway Township. Please note these are general areas, and may change.
  6. Additional Personal References We May Contact:
  7. Signature*
    I certify that the information provided by me is true and accurate to the best of my knowledge. I understand that if any such information is willfully false, I am subject punishment. I further understand that falsification of this application and content herein may result in dismissal as a volunteer from Rockaway Township programs. I authorize Rockaway Township to investigate all statements contained in this application. I acknowledge that if I drive my own vehicle on behalf of Rockaway Township, I will always maintain in force adequate automobile insurance; and I also understand that as a volunteer driver, the limits and coverages provided by my personal automobile insurance are applicable to any accidents or incidents that involve my vehicle, including those that occur while I am serving as a volunteer driver for Rockaway Township.
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  9. This field is not part of the form submission.