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Name
*
First
Middle
Last
Gender
*
Male
Female
Address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Apartment/Unit #
Zipcode
*
Phone
*
OK to Send Text:
*
Yes
No
Email
*
Age Range
*
21 to 25
26 to 30
31 to 35
36 to 40
40 to 50
50 to 60
60 to 70
70 to 80
81 and up
Tshirt Size
*
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
5X-Large
6X-Large
Health Issues/Physical Limitations
*
Yes
No
Allergies/Medical Conditions
RR Lifestyles Chapter
Ryder/Alias Name
Email
RR Lifestyles Account Standings
Current
Behind
Chapter Name
Chapter President
Military Service
Service Branch
Date of Entry
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Date of Exit
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1922
1921
1920
Rank at Discharge
Type of Discharge
If Other Than Honorable, Explain:
Volunteer Experience
Date
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Days Available (Check All That Applies)
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Time Available (Check All That Applies)
*
Morning (6am-12pm)
Afternoon (12pm-6pm)
Evening (6pm-12am)
Night (12am-6am)
Volunteer Activities (Check All That Applies)
*
Management
Grants
Event Organizer
Fundraising
Communications
Other
Other
Working With (Check All That Applies)
*
Senior
Adults
Youth
Music
Volunteer Position for Consideration (If different than above)
Emergency Information
Name
*
First
Last
Relationship
*
Address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Apartment/Unit #
Zipcode
*
Phone
*
Email
*
Background Information
Valid DL, Enhanced or REAL ID
*
Yes
No
Reliable Transportation
*
Yes
No
Upload Driver's License
*
Click or drag a file to this area to upload.
Available Transportation
Motorcycle
Pick-up Truck
Sedan
SUV
Van
Dirt Bike
Bicycle
Public Transportation
18 Wheeler
US Citizenship
*
Yes
No
Work Authorization
*
Yes
No
Licensed Professional
*
Yes
No
Type of License
Volunteered with Ruff Ryders
*
Yes
No
Date of Entry (copy)
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1932
1931
1930
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1928
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1926
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1922
1921
1920
Date of Exit
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1925
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1921
1920
Criminal Offense
*
Yes
No
Offense Involving Minors
*
Yes
No
If Yes Provide: Date, Offense, Disposition, and State/County
Currently On
Parole
Probation
Assigned Officer's Name
First
Last
Phone
Email
References
Relative Reference
*
First
Last
Phone
*
Email
*
Non-Relative Reference
*
First
Last
Phone
*
Email
*
Disclaimer and Signature
I certify that the information contained in this volunteer application is true and complete to the best of my knowledge. I understand that false or misleading information may be grounds for not accepting me or for immediate release of volunteer-ism at any point in the future if I am accepted.
Date / Time
*
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