Form Center

2. I'd Like to Volunteer!

   Thank you for stepping up to help!

   We are urgently seeking volunteer drivers to deliver meals to older adults in Lenawee County. By filling out this form, you’re taking the first step toward ensuring no senior goes without a warm meal or a friendly check-in.

   Thank you for being willing to make a difference.

   
   

4. Name*
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Phone Number*
14. I Can Deliver in This Area:*
    -- Select One --AddisonAdrianBlissfieldHudsonMorenciOnstedTecumseh
16. Follow-up Preference*
    -- Select One --Phone callEmailText message

    We will contact you with more information about next steps.  How would you prefer to be contacted?

Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field