Driver Gas Bonus Program Sign Up Form

Driver Gas Bonus Program Sign Up Form

Complete this form if you'd like to sign up to receive a weekly gas bonus equal to $10 per day you drive. This is a weekly schedule you'd be able to commit to on a weekly basis. (NOTE: To be eligible, you must drive a minimum of 3 days per week and the minimum shift time is 3 hours.)
Name:*
Let's design your weekly schedule, what days are you available to drive each week? (Must select 3 or more days to participate.)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Please specify what times you will be available for each day you selected.*
EX: Monday 5-9PM, Wednesday 4-8PM, Saturday 9:30AM-1:30PM etc...
Please confirm the following:*

I understand that I'm committing to drive these days/times each week.I understand that if I do not work the shift times I stated above I will no longer be eligible for the gas bonus.
Should be Empty: