Transport Volunteer Questionnaire

Please fill out this brief questionnaire if you are interested in being placed on our Transport Volunteer contact list!

"*" indicates required fields

Today's Date*

Name*

First Last

Best Contact Phone Number*

Email*

Town of residence*

What is your availability to help with our transport needs?*

Ex. 1: "I am available all day Mondays, Wednesdays, and Fridays" Ex. 2: "I am available Saturday and Sunday only" Ex. 3: "My schedule fluctuates, but I'd still like to help and would love if you could contact me!"

What are your travel distance preferences? Please select all that apply*

0-100 miles from Glenwood Springs (Leadville, Grand Junction)

100-200 miles from Glenwood Springs (Delta, Denver)

200 + miles from Glenwood Springs (Alamosa/out of state)

I am okay with any distance

Please note that most of our transfers pick up locations are in the Denver Metro area, Grand Junction, Delta, Leadville, and Alamosa. We occasionally need drivers that can assist with transports to/from Utah as well.

If you are open to using your own vehicle for transport needs, please list Make and Model of your vehicle. If you cannot use your own vehicle or don't think it would be appropriate for traveling long distances, please leave blank.

C.A.R.E. has a large, 17 foot Ford Transit van that we use for most of our transfers. Would you feel comfortable driving a vehicle this size?*

Yes

Is there anything else you'd like us to know? Feel free to list any questions you have regarding our tranport volunteer position.

Name

This field is for validation purposes and should be left unchanged.