Uphaven Volunteer Application

About you.

Please help us get to know you!
Name*

First NameMiddle NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Why do we ask? Volunteers under 18 are welcome - your application, however, will need to be co-signed by a parent or guardian. If you are under 18, continue filling out the application and we'll connect with you to make sure we get the appropriate documentation before volunteering.
Gender
We ask this question for demographic purposes in applying for and reporting on available grants.
Veteran/Active Military

YesNo
How do you plan to volunteer? (Choose all that apply.)*

Volunteer pilot (Command Pilot)Volunteer driver (Ground Guardian)I'd like to volunteer in another way. (Great! You'll be able to tell us more information in a later question!)

Aircraft information.
Please tell us about the aircraft you would most likely fly on Uphaven missions. If you are a renter, let us know what types of aircraft you typically fly.
Make/Model
Do you own or rent the aircraft?

OwnRent
Number of Seats (including pilot)
Tail Number
It is important that we have the tail number of your aircraft so that we can identify you to our passengers. If you are a renter or otherwise don't know the tail number in advance, leave this field blank.
Air conditioning?

YesNo
Known icing?

YesNo

Driver information.
Will you be able to submit proof of valid driver's license, car insurance (meeting state minimum requirements), and valid vehicle registration? We will ask for copies of these documents during orientation.*

YesNo
When are you generally available to drive missions? (Check all that apply.)*

WeekdaysWeekendsAt the last minute
Do you have reliable access to a vehicle?*

YesNo
Make/Model
We'll communicate this information to your passengers so they can look for you at the pickup location.
Number of Seats (including driver)
License Plate Number
We'll communicate this information to your passengers so they can look for you at the pickup location.

Volunteer affirmation and application submission (yay!).
Please read the Uphaven Volunteer Affirmation carefully and sign below in order to continue.

If you have any questions before you proceed, please contact us at (414) 207-4567.
I have read the Uphaven Volunteer Affirmation and agree to abide by its terms and conditions. I agree to HOLD HARMLESS Uphaven, its officers, directors, agents, employees, sponsors, donors, mission assistants, referring agencies, and all other entities or persons who may have assisted in arranging or participating in Uphaven-coordinated transportation, from any and all claims, liability, losses or damages incurred as a result of any activity associated with Uphaven.*

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Volunteer Application