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Volunteer Driver Application Form
1. Personal Information
Mr.
Mrs.
Ms.
2. Best Time to Contact:
Morning
Afternoon
Evening
3. Vehicle:
Answering machine:
Yes
No
Year:
Is your vehicle a van?
Yes
No
Is your vehicle a mini-van?
Yes
No
4. Have you ever been involved in a car accident in the last five years?
Yes
No
5. Please indicate the days of the and the hours you are available:
Monday
Morning
Mid-Day
Afternoon
Tuesday
Wednesday
Thursday
Friday
How many shifts would you like per week?
6. How long would you like your commitment to be? (Please check one)
6 Months
1 Year
Ongoing
Other
7. Date Submitted:
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