Name *

First Name

Last Name

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Emergency Contact Phone (cell)

(###)

###

####

STARS Policies *

Prior to submitting this application, we ask that you acknowledge and agree to comply with the following STARS policies by checking each box below.

I agree to comply by checking each individual policy.

Training *

I agree to participate in the STARS mandatory 2-hour training session.

Substance Use While Driving *

I agree not to use any substance that may affect my reaction time and the ability to drive safely before or during my assigned ride.

Background Check *

I agree to authorize STARS to initiate my background check and agree to respond to emails from Sterling Volunteers requesting further information to complete the process.

Health Protocol *

I agree to comply with the STARS Health Protocol while a volunteer.

Traffic Crimes *

Have you been convicted of a traffic crime** in the last 5 years? ** If you have been convicted of a traffic crime such as DUI, DWI, reckless driving, negligent driving, vehicular homicide, or hit and run in the last 5 year you are not eligible to drive for STARS.

Yes

No

Traffic Violations *

Have you been ticketed for two or more traffic violations in the last 3 years? (Violations include speeding, failure to obey a traffic control device, and driving uninsured)

Yes (If yes, you may apply for a waiver to drive for STARS.)

No

Bodily Injury Liability Insurance *

I agree to maintain 100K/300K bodily injury insurance on the vehicle used for transport.