Kidsave Volunteer Driver Application

General Information

Full Name

Phone

Email

Address

City

Zip Code

Experience and Skills

Most Recent Employer

Hire Date

Work Phone

Business Address

City

Zip Code

Highest Educational Level Achieved

Degree/Major

Describe Work Experience:

May we contact you at work?

Yes
No

Are you currently attending school?

Yes
No

Are you bilingual?

Yes
No

What attracted you to Kidsave? Is there a particular aspect of our work that motivated you to volunteer with us?

What would you like to gain from this volunteer experience?

Background Information

Do you have a current driver’s license?

Yes
No

Do you have a California State Registered car?

Yes
No

Emergency Contact:

Full Name

Address

City

Zip Code

Phone

Email

Relationship

Have you ever been investigated, charged, arrested, and/or convicted for any offenses, violations or crimes regardless of the outcome in the state or abroad?

Yes
No

Have you ever been investigated, charged, arrested, and/or been the subject of a finding of child abuse, neglect, sexual abuse of a child or domestic violence regardless of the outcome in the state or abroad?

Yes
No

Have you ever been investigated, charged, arrested and/or been found guilty of any alcohol or drug-related offences, infractions, violations or crimes including but not limited to DUI, DWI, DUAI regardless of outcome in the state or abroad?

Yes
No

Confirmation

I hereby affirm that the information presented in this volunteer application is true and accurate to the best of my knowledge. I authorize Kidsave to contact my references and investigate the information I have provided in this application to determine my fitness as a potential volunteer. I understand that the information provided in this application will be used only for the purpose determining suitability as a Kidsave volunteer.

Signature

Date