Gasoline Assistance (for existing volunteers)

As a volunteer-driven organization, we don't want anything to stand in the way of our volunteers helping us. If you are a volunteer for Meals on Wheels of Texoma and you need help paying for your gasoline, we invite you to complete the following application for gasoline assistance.

Each application will be considered individually, although priority will be given to volunteers who have been with our program for at least two years and volunteers who drive more than once per week.

First Name

Last Name

Street Address

City

State

Zip Code

Phone Number

Location Where I Deliver Meals

How often do you usually deliver meals?

Less than once a month

Once or twice a month

Once a week

Multiple Times Per Week

Every day

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