DRIVER JOB APPLICATION
Drive our car, Choose your own hours, Be your own boss!
Select Pay Rates:
Wheelchair ride less than 30min Driving: $20 Round Trip
Wheelchair Ride more than 30min Driving: $30 Round Trip
Door to Door ride less than 30min Driving: $15 Round Trip
Door to Door more than 30min Driving: $20 Round Trip
Stretcher Assist up to 1 hr Driving or Escort : $30 and $10 increase for each hour after
Long Distance: $100 and 0.25 per mile
Name
First Name
Last Name
Phone Number
Mobile Phone
How long have you been driving?
Upload Driver's License
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of
City/ State / Zip Code
Enter the city, state, and zip code where you want to drive.
Please provide the start and end date of the week that you are submitting your work availability for.
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Friday | Friday
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Are you working on the weekend?
Saturday
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