SafeRide America Volunteer Sign-Up
SafeRide America is seeking volunteers to serve our community by making the roads safer for everyone. We offer driving and non-driving opportunities 7 days a week, daytime, evenings and weekends. SafeRide America is a 501 (c) 3 non-profit organization and welcomes anyone needing to complete court appointed community service or just wants to help us proactively prevent impaired driving.
Fill in the information below to indicate how you would like to become involved.
First Name
Last Name
Address 1
Address 2
City
State
Postal Code
Phone
Please email me volunteer updates
Email Address
Best Time to Contact
Morning
Afternoon
Evening
Have you previously done volunteer work for this organization?
Yes
No
Are you volunteering to complete court appointed community service?
Yes
No
How many hours do you have left to complete?
Enter the date your community service hours must be completed by
Do you have a valid drivers license?
Yes
No
Restricted license
Unsure
Select the State your drivers license was issued in
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Not Appliciable
Do you have reliable transportation?
Yes
No
Sometimes
How did you learn about this volunteer opportunity?
VolunteerMatch.org
United Way 211
Hands on Atlanta
Craig's List
AJC's Do Good Channel
kijiji
Flyer or posting
Friend or family
Creative Loafing
Probation officer
SafeRide website advertisement
At a festival or event
I am a SafeRide customer
DUI School
Other (Please tell us in comment box at the bottom of this form)
My attorney (enter attorney's name)
The SafeRide America representative I am currently working with is
Mike
Trey
Tonya
I spoke to someone not listed here
I have not spoken with anyone from SafeRide yet
What days of the week are you consistently available?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Almost all of our current volunteer opportunities are available nights and weekends. Is this a good time for you to volunteer?
No
Yes, Anytime
Yes, weekends only
Yes, week nights only
What areas of work would you be interested in (check all that apply)?
Fund Raising
Chase Car Driver
Help w/ Dispatch
Professional Services
Office/Clerical
Support
Other
SafeRide America may be able to use your work or job skills to help further our lifesaving mission. Tell us about where and what kind of work you do.
Comments/Additional Information
Indicates Response Required