Volunteer Application

I CARE provides FREE transportation to seniors of DeKalb County to medical appointments. We have been serving fixed and low income DeKalb seniors since 1999. The FREE transportation and companionship provided to our clients makes I CARE a unique door to door service. It is solely due to a committed group of volunteer drivers that we are able to serve the seniors of DeKalb County. Thank you for your interest in joining our team! Upon completing the application, please mail or email. We will call you to schedule a sign-up chat.

First Name

Last Name

Date of Birth

Address

City

State/Province

Zip/Postal

Address

Phone - Home

Phone - Mobile

E-mail address

How did you hear about I CARE?

Please provide the name and phone number of two references (people not related to you)

1. Reference Name

Refference 1 Phone

2. Reference Name

Reference 2 Phone

Current or previous volunteer experience

Emergency contact name

Emergency Contact Phone

Driver’s License State of Issuance

Driver’s License Number

DL Expiration Date

Make and model of vehicle

Automobile Insurance Company Name:

Insurance Policy #

Auto Insurance Expirate Date

Accidents/tickets last 5 years?

Yes

If yes, please describe below

If you are human, leave this field blank.

Volunteer Application

Volunteer Application

Company

Links

Contact Us