Create Volunteer Profile



Please read this page carefully. To get started as soon as possible complete and submit the form below. You will immediately receive a confirmation email that will have a link you must click on to gain access to our online volunteer portal.

 

Once you complete everything above you will be able to;

You may contact the Volunteer Coordinator by emailing volunteer@saferideamerica.org

 

-or-

 

Click here to view the SafeRide America "Contact Us" web page


* Indicates a required field
Volunteer First Name:*
Volunteer Last Name:*
Volunteer Cell Phone:*
 
Volunteer E-mail:*
Confirm E-mail:*
Volunteer Password:*
Confirm Password:*
Volunteer Home Phone:
 
Volunteer Address:*
Volunteer Address Line 2:
Volunteer City/Town:*
Volunteer State:*
Volunteer Zip Code:*
Why are you volunteering?:*
How many volunteer hours would you like to complete with SafeRide?:*
Volunteer Availability:*
Do you have a valid driver's license or restricted/limited permit?:*
Enter the MAKE and MODEL of your car. (Enter "NONE" if you do not have a car):
What color is your car?:*
Volunteer Equipment:*
Will you be volunteering as a chase driver?:*
Chase driving requires you to have 3/4 tank of gas each night. Are you able?:*
Would driving people and their cars for them, as a volunteer, be an option for you?:*
Would you like to volunteer for general clean-up or landscaping opportunities?:*
Are you willing to help with emergency errands for Grocery/Medication for those in need?:*
Tell us what kind of work you do and list any skills that may be useful:
Who referred you to SafeRide America?:*
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