Please fill out the following form completely and send it using the Submit button below. The fields marked with an asterisk (*) are required. We will process your application shortly and call you back soon.
Please enter your availability in the boxes below for the days of the week you would be interested in driving. If there are certain time periods in which you wish to volunteer, please note those as well. We are extremely flexible. You drive as little or as often as you like, choosing the days, times and areas that work for you. Please remember, you are not committed to the days and times you indicate below. As your schedule changes you may change your availability, even from one week to the next! And if you are not available to drive for a week, or several weeks, or a month, or even several months, just let us know.
Senior Services shall not discriminate on the basis of age, gender, marital status, familial status, religion, race, color, creed, sex, national origin, sexual orientation, gender identity, political ideology, the presence of any sensory, mental or physical disability or any other basis prohibited by law.