Volunteers In Motion

Information & Application

Volunteers in Motion

Volunteers in Motion provides transportation for individuals who are unable to use other Space Coast Area Transit services. The Volunteers in Motion program offers transportation to locations such as medical facilities, pharmacies and grocery stores. Since its inception, Volunteers in Motion has assisted thousands of individuals who would otherwise be unable to live at home independently. Program volunteers are provided with training classes, state-of-the-art vehicles, gas and insurance, uniform shirts, and cell phones during volunteering hours. This innovative program is supported by an amazing group of volunteers who serve because they care. Unfortunately, the demand for services is higher than what the current program can support. A few hours of your support once or twice a week (or more) can make an incredible difference. The program operates on weekdays, Monday through Friday. If you enjoy working with people of all ages and making a difference in their life, this is a great volunteer position for you! All support is welcome and appreciated.

Items marked with an * are required fields.

* Name:
* Mr., Mrs., Ms.:
* Home Address:
* City:
* Zip Code:
* Phone Number:
* E-Mail Address:
* Birth Date (mo/year):

Emergency Contact

Person:
Relationship:
Phone:
Work or Home Number:

Interest

I am interested in the following volunteer position(s):
I am available on the following day(s) of the week:
I have had previous volunteer experience:
I volunteered at:

References
Please list three verifiable references that are not relatives.

Name #1:
Phone:
Name #2:
Phone:
Name #3:
Phone:

I understand that Brevard County requires a review of my driving record and other safety sensitive information. Upon receipt of my application, the volunteers in motion coordinator will contact me to provide additional background information.

Name:
Date:
* Captcha:

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing or call 321-633-1878, Monday – Friday, 8AM to 5PM.