Volunteer Application Form

Volunteer Driver Application

Ride Assist Naperville (RAN)
I understand this opportunity is entirely volunteer-based and is not a paid position

I agree
Your Name*

First NameLast Name
Email*
example@example.com
Cell Number*
Format: (000) 000-0000.
Home Number
Format: (000) 000-0000.
Date of Birth *

MonthDayYear
Date
Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contacts*
Are you a Veteran? (optional)

YesNo
Race/Ethnicity (optional)
Languages you speak other than English (optional)

Availability Information *

Vehicle Information

Rows	Make	Model	Year	# of Doors
Type you answers in each blank to the right

Do you own this vehicle?*

YesNo
Do you have a valid IL driver's license?*

YesNo
In the last 5 years, have your driving privileges been suspended or revoked?*

YesNo
Have you ever received a hardship license (JDP)?*

YesNo
Have you ever been convicted of a crime?*

YesNo

With your signature on this application as confirmation, do you approve of the following?

Rows	Yes	No
I’m in good health and can perform the duties of a volunteer driver.
RAN has permission to run a criminal and driving history background check.
I will always carry insurance on my vehicle and give proof to RAN.
RAN has permission to contact my references listed below.

Please provide us with 2 personal references (excluding relatives)*

Photographic & Volunteer Release

In volunteering for RAN, I hereby waive and release Ride Assist Naperville officers, directors, board members, employees, and volunteers from all liability with respect to said transportation and the arrangement for said transportation and agree to hold harmless each of them from claims arising from this service. My signature below indicates my agreement to guidelines set forth by Ride Assist Naperville to volunteers. It also indicates my understanding that volunteering for RAN, I voluntarily assume all risks related to exposure to COVID19. I give permission to the community for the use of my photographs that are taken by staff in order to use for social media.
Volunteer Candidate Signature*
Date

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

Volunteer Driver Application