Volunteer Clinic Drivers - Sign Up Form - Spring 2019 (February-May)
The Sexual Information Center is seeking volunteer drivers!!!

Are you interested in helping out at the SIC, without necessarily becoming a staffer? Becoming a volunteer driver is a great way to get involved with a low time-commitment. Lack of reliable transportation is one of the BIGGEST barriers to sexual/reproductive healthcare access. Even just a few hours per month would be an incredible help to our organization!

Volunteer drivers take people to and from their sexual/reproductive health and gender-affirmation appointments. Destinations may include clinics in Elyria, Lorain, or Cleveland. Volunteer drivers commit to maintaining confidentiality, and providing non-judgmental support during transportation.

At this time, we can ONLY accept volunteer drivers who:
1) Have a valid driver's license;
2) Have a car;
3) Do NOT require reimbursement.
Please do not fill out this form if you cannot meet ALL 3 of these requirements.

Thank you!
Name *
(Full name please)
Your answer
Pronouns (optional)
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Do you have a valid driver's license? *
You must have a valid driver's license in order to volunteer.
Do you have a car? *
You must have a vehicle in order to volunteer. Unfortunately, the Sexual Information Center does not have the capacity to coordinate the switching and borrowing of cars at this time.
Do you require reimbursement? *
Unfortunately, the Sexual Information Center CANNOT provide monetary reimbursement at this time, due to a lack of sufficient funds.
Please indicate your weekly availability.
Check all that apply. Checking a box means that you are available for the FULL HOUR starting at that time. For example, checking "Monday 8AM" means that you are available from 8-9AM on Monday mornings.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
If someone requires a POC and/or non-cis driver, are you able to meet these requirements?
Check all that apply.
Do you commit to meeting the Volunteer Expectations outlined in the Program Guidelines? By typing your name below, you are providing your electronic signature. *
Your answer
Anything else you'd like us to know?
Your answer
Submit
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