What is the LIFE Program?
Thank you for your interest in the Earth Rides’ LIFE Program (Living Inspired For Everyone).

The LIFE Program is dedicated to serving the intellectually, developmentally disabled community, as well as the hearing and vision impaired community. This program exists to provide a safe, reliable, and sensory safe ride experience.

If your answers on this worksheet indicate the LIFE Program might be appropriate for you, there may be specialized services available for you including the fixed and discounted costs of rides.

You may fill this eligibility questionnaire out yourself, or receive assistance from a friend or family member.

Instructions:
Read through the application carefully
Fill out and submit application
Submit a verification note from a licensed professional knowledgeable about the applicant's primary disability to kheflin@earthrideshare.com 
Application will be reviewed and eligibility determined
If you are found eligible, Earth Rides will reach out to you

All information provided will be kept strictly confidential.

Fill out application below:

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