Volunteer Registration

We want to be able to assure our riders that they will receive a ride that is safe. For that reason, we ask volunteers to provide the following documentation:

Proof of car insurance
Proof of up-to-date inspection sticker
Current lifetime DMV abstract: You can get this at a DMV office for $10 or online for $7 at this link.

When your form has been successfully submitted, you will be taken to a confirmation page. If you click "Register" and this page refreshes, please scroll down to see if there is an error in your form.

First Name*

Last Name*

E-mail Address*

Password*

Confirm Password*

Mobile Number*

Address

Do you have a vehicle in good working order to use for providing rides?*

YesNo

If so, please add your car's Description (Make, Model, and Color)

How many passengers does your car hold?

Do you own an infant or toddler seat that could be used to transport children?*

YesNo

Do you have primarily weekend or weekday availability for providing rides?

WeekdayWeekend

Both

Proof of Insurance

Upload

Proof of Inspection

Upload

Driver Abstract*

Upload

Do you have any questions about volunteering for the Beacon Free Prison Rides Project?

Have you, or anyone in your family or close social network, ever worked in the New York State prison system? (Y/N - if yes, please explain)*

Only fill in if you are not human