Create Volunteer Profile

Thank you for registering to volunteer with SafeRide America! We're glad you're here. You may contact the Volunteer Coordinator at 404-888-0887 or by emailing

* Indicates a required field

Volunteer First Name:*
Volunteer Last Name:*
Volunteer Primary Ph #:*
(719-111-2222 or 719-111-2222 x345)
Volunteer E-mail:*
Confirm E-mail:*
Volunteer Password:*
Confirm Password:*
Volunteer Alternate Ph #:
(719-111-2222 or 719-111-2222 x345)
Volunteer Address:*
Volunteer Address Line 2:
Volunteer City/Town:*
Volunteer State:*
Volunteer Zip Code:*
Please provide your occupation and list any skills that may be useful in our organization:
(1000 character max)
If applicable, enter the date your community service must be completed by:*
Please provide your probation officer's name and phone number:
(1000 character max)
If applicable, what is your reason for completing court ordered community service? :
(1000 character max)
What is the name of your Attorney? :
(1000 character max)
Have you previously served in the military?:
(1000 character max)
Are you volunteering to complete court appointed community service?:*
If court ordered community service how many hours? Choose "Not applicable" if none.:*
Do you have a valid driver's license or restricted permit?:*
Do you have a reliable car to drive?:*
Who referred you to SafeRide America?:*
Volunteer Birth Date:
Volunteer Age Group:*
Volunteer Interests:
Volunteer Skills:
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