Volunteer Application

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

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

Do you have reliable transportation?

Yes

No

Sometimes

How did you learn about this volunteer opportunity?

The SafeRide America representative I am currently working with is

What days of the week are you consistently available?

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)?

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