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The HALT Act
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Solving The Problem
Solving the Problem
The HALT Act
Drunk Driving
Technology & Safe Rides
Court Monitoring
Drugged Driving
Underage Substance Use
The 21 Minimum Drinking Age
Power of Parents
Power of You(th)
Power of Me!
MADD’s Promposal
Statistics
Reports
Equity and Traffic Safety Enforcement
Law enforcement
Law Enforcement Support
Recreational Vehicle Safety
Get Help
Get Help
Victim Assistance
I’m a Concerned Community Member
Victim Impact Panels
Find an Attorney
Get Involved
Get Involved
Donate
Give One Time
Give Monthly
Ways to Give
Find a Local Office
The MADD Network
MADD Sports
Walk Like MADD
Honor
Light A Candle
Create a Tribute
Create a Fundraiser
Act
Advocate
Volunteer
Influence
Driving Change with MADD
Shop Like MADD
About MADD
About MADD
Contact Us
History
Victim Care
Leadership
MADD National Board
MADD National Ambassadors
Partners
Diversity
News
Press Release
PSA’s
Blog
Careers
Legal
Solving The Problem
Solving the Problem
The HALT Act
Drunk Driving
Technology & Safe Rides
Court Monitoring
Drugged Driving
Underage Substance Use
The 21 Minimum Drinking Age
Power of Parents
Power of You(th)
Power of Me!
MADD’s Promposal
Statistics
Reports
Equity and Traffic Safety Enforcement
Law enforcement
Law Enforcement Support
Recreational Vehicle Safety
Get Help
Get Help
Victim Assistance
I’m a Concerned Community Member
Victim Impact Panels
Find an Attorney
Get Involved
Get Involved
Donate
Give One Time
Give Monthly
Ways to Give
Find a Local Office
The MADD Network
MADD Sports
Walk Like MADD
Honor
Light A Candle
Create a Tribute
Create a Fundraiser
Act
Advocate
Volunteer
Influence
Driving Change with MADD
Shop Like MADD
About MADD
About MADD
Contact Us
History
Victim Care
Leadership
MADD National Board
MADD National Ambassadors
Partners
Diversity
News
Press Release
PSA’s
Blog
Careers
Legal
24/7 Help
Donate
Volunteer Agreement
Volunteer Agreement
Personal Information
First Name
Last Name
Street Address
City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Email address
Phone
Birthdate
format: 12/15/1977
Are you under 18 years old?
Yes
No
Parent/Guardian Name
Parent/Guardian Phone
Parent/Guardian Email address
Are you currently charged with a DUI/DWI offense?
Yes
No
Out of respect for the victims and families we serve, we do not accept those interested in volunteering who are currently involved in ongoing impaired driving offenses. Upon the resolution of your case please reach out to your local MADD office about potential volunteer opportunities.
Have you ever been convicted of a DUI/DWI or state equivalent offense? (A conviction does not necessarily preclude a person from becoming a MADD volunteer.)
Yes
No
Are you fulfilling Community Service hours?
No
Yes, Court Ordered (
mandatory community service required by a court or judge as the result of a conviction, not the suggestion of legal counsel)
Yes, Service Learning (
assigned by an institution (high school, college, workplace, or other organization) to relate to course material or teach about a specific topic)
How did you hear about us?
Social Media
Friend / Family
I am a Victim / Survivor
MADD Staff / Volunteer
When did the crash occur?
format: 06/19/1977
If there was a legal case, has the case been adjudicated?
Yes
No
Emergency Contact Name
Emergency Contact Phone
Relation to you
Interests (check all that apply)
Advisory Board
Clerical
Court Monitoring
Fundraising
Law Enforcement Support
National MADD Ambassador
Public Policy
Special Events
Underage Prevention
Victim Impact Panel
Victim Services
Walk Like MADD
Other ways to help MADD
I am interested in becoming an Advisory Board Member
I am willing to help grow MADD with strategic introductions to program partners and potential funders
Work Experience and Skills (check all that apply)
Accounting
Administrative
Data Analysis
Fundraising/Grant Writing
Graphic Design
Languages
Marketing
Event Planning
Project Management
Research
Spreadsheets
Teaching
Technology
Writing
Other
Page 2
I understand and accept that the referenced information I have provided is treated as confidential and will be used for processing my application. During this screening process I am under no obligation to work as a volunteer for MADD and MADD is under no obligation to accept my service. I understand that I may be asked to complete a Criminal Background Check (completed separately) and that MADD reserves the right to reject any volunteer application, which MADD, in it's sole judgement, determines, is not in the best interest of MADD.
Yes
I acknowledge there are risks associated with volunteering, whether in an in-person or virtual capacity. In consideration of being allowed to volunteer with MADD, I agree, for myself, my heirs, executors and administrators, to not sue and to release, indemnify and hold harmless, MADD, its affiliates, officers, directors, volunteers and employees, from any and all liability, claims, demands, and causes of action whatsoever, arising out of my volunteer activations with MADD and any related activities - whether it results from the negligence of any of the above or from any other cause.
This release and indemnification agreement shall be as broad and inclusive as is permitted by the State or Province in which the event is conducted. If any portion of it is held invalid, the balance shall continue in full force and effect.
Yes
I understand and agree that during the activities of volunteering with MADD, I may be photographed, recorded, and/or videotaped by MADD for internal and promotional use on printed materials, MADD’s website, MADD’s social media, and events to further MADD’s charitable mission. I hereby grant and convey to MADD all right, title, and interest in any and all such photographs and recordings, and consent to MADD’s use of my name, image, likeness, and voice in perpetuity, in any medium or format, for any publicity without any compensation or further permission. I understand that, while MADD’s photographs or recordings may contain names, stories, or images of victims, survivors, and the loved ones, this release does not mean that MADD will own those stories or images.
Yes
I've read and agree to MADD's Volunteer Policies and Procedures
Yes
MADD Volunteer Policies and Guidelines
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