Driver Application Form

Spring 2020

Please complete the form below or click here to print and mail a form. Application Form

DRIVER INFO

Your Name:

Home Phone: Cell Phone:

Address:
City: State: Zip:

E-mail:

Drivers License Number and State: Insurance Number:
Emergency Name: Emergency Phone:


VEHICLE TYPE

SUV Model: VAN Model:
TRUCK Model: Bed Size: Shell: Yes: No:
Other Vehicle:
Note: Vehicles need to be able to carry at least 16 food boxes.


PASSENGER INFO

Name:

Phone:

Address:
City: State: Zip:

E-mail:


I AM INTERESTED IN THE FOLLOWING FOOR RUN(S):

(Please do not apply if you cannot be present for the entire food run.)
Oljato-Navajo Mountain-Kayenta: March 23rd-26th (Application due by Feb 23, Space is Limited)
Dilkon-Leupp-Birdsprings: April 28th-May 1st (Application due by March 19)
Many Farms-Pinon-Tsaile: May 5th - 9th (Application due by April 19)
Sanders-Big Mountain-Teesto: May 10th - 14th (Application due by April 19)


Please check to indicate if you are a certified emergency medical responder, nurse, or physician. If you have questions, please call Linda Myers at 435-649-0535.


Additional comments, please explain:


Preference will be given to drivers leaving from Utah so that food boxes can be transported from the warehouse. If you would like to participate but do not live in Utah you may fly into Salt Lake City and rent a truck, van or SUV. Or you could fly to Albuquerque or Phoenix, rent a suitable vehicle and meet us in Arizona.

Applications will be considered based on a variety of factors such as vehicle size and the number of volunteers needed for each Food Run. You will be mailed a Food Run itinerary if your application is accepted.

You will be mailed a Food Run itinerary if your application is accepted.