SafeRide America Volunteer Sign-Up
Safe Ride America is seeking volunteers to serve our community by making the roads safer for everyone. 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?
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
Where did you find out about this volunteer opportunity?
VolunteerMatch.org
United Way 211
Hands on Atlanta
Craig's List
Flyer or posting
Friend or family
Creative Loafing
Probation officer
Website advertisement
DUI School
Other (Please tell us in comment box at the bottom of this form)
My attorney (enter attorney's name)
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
Comments/Additional Information
Indicates Response Required