Driver Application Form

FALL 2019

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:


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: August 19-22 (Application due by July 15, Space is Limited)
Dilkon-Leupp-Birdsprings: September 24-27 (Application due by August 19)
Many Farms-Pinon-Tsaile: October 1-5 (Application due by August 19)
Sanders-Big Mountain-Teesto: October 6-10 (Application due by August 19)


Food Run:

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.