We need you as a volunteer driver! The difference you make in a neighbor's life will also be of great benefit to you. You can either download our PDF, print and mail it off, or complete the form below. Thank you for being the difference.
This online application should take 15-20 minutes to complete. There are five pages. Please have names and phone numbers of references, your driver's license and personal vehicle insurance card handy. If you are unsure of what will be asked, please download the PDF here.
As a volunteer, I agree to provide a valid driver's license number and proof of automobile insurance. I agree to mail or deliver copies of these documents to New Rochelle Cares - Aging in Place so that they can be filed with this application. I will immediately notify my volunteer supervisor if my driver's license is restricted, suspended, revoked or expired.
Volunteer driver positions require a criminal history background check and a mother vehicle background check. The volunteer driver will receive an email invitation from New Rochelle Cares - Aging in Place with a link to www.Intellicorp.com where the driver will be able to submit personal information directly. This includes a social security number, driver's license number, and address. You will then authorize Intellicorp to run the background checks. New Rochelle Cares - Aging in Place will never see your social security number, which is required to run the background checks.
My signature below certifies that all statements made on this application are true, complete and correct to the best of my knowledge and belief. I understand these statements are subject to verification. I understand that falsification on this application can disqualify me from consideration or result in my volunteer services being denied. Furthermore, my signature below provides my authorization to New Rochelle Cares - Aging in Place to conduct driver license and motor vehicle record checks as needed, as well as reference checks to determine my suitability for placement.
I hereby release all parties from any liability for furnishing this information.
New Rochelle Cares - Aging in Place acknowledges that equal opportunity for all persons is a fundamental human value. Each volunteer applicant will be considered on the basis of individual ability and merit, without regard to race, color, age, religion, national origin, disability, sexual orientation, sex or martial status.
I hereby authorize New Rochelle Cares - Aging in Place or a third party vendor to obtain information pertaining to any criminal charges currently pending and/or convictions I have had for violation of municipal, county, state or federal laws. I understand that this information will be gathered from any law enforcement agency of this state or any state or federal government, or from third-party providers of information originally obtained from law enforcement or court records.
I understand that I will be given a copy of the record and an opportunity to challenge the accuracy of any information received that appears to implicate me in criminal activities before any adverse action is taken. To facilitate this challenge, I will be told the nature of the information and the agency from which it was obtained. It will be my responsibility to contact that agency to correct any inaccuracies. I further understand that until New Rochelle Cares - Aging in Place receives notification from that agency correcting any inaccuracies, any employment or volunteer assignment will be deferred.
As an applicant for a volunteer position, I hereby attest to the truthfulness of the representations I have made regarding my criminal history, if any. Except as I have disclosed, I have not been found guilty of, or entered a plea of 'nolo contendere' or 'guilty' to any criminal misdemeanor or felony. I understand that I do not have to disclose any sealed or expunged conviction records.
I understand that I must be truthful, and, if any statement I have made is found to be false, I will be denied the position for which I am making application or, if already accepted, terminated from my position. I understand that conviction records are not an automatic bar to volunteer and will be reviewed based on their number, nature and recentness to determine suitability for the position.