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 online training session.

Medications and Alcohol *

I agree not to use alcohol, medical marijuana, or any prescription pills 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.