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Menu
The Problem
Statistics
Drunk Driving by State
Drunk Driving
Drugged Driving
Teen Drinking
Myths and Facts
The Solution
Law Enforcement Support
Drunk Driving Prevention
High-Visibility Law Enforcement
Ignition Interlocks
Advanced Vehicle Technology
Public Support
Tie One On For Safety
Rideshare
Drugged Driving Prevention
Teen Drinking Prevention
Why 21?
Power of Parents
Power of You(th)
Get Help
Victim Assistance
Find a Attorney
I’m a Concerned Citizen
Find a Victim Impact Panel
Get Involved
Honor
Create a Tribute
Walk Like MADD®
Fundraise for MADD
Act
Take Action
Volunteer
Stay Informed
Give
Online Gift
Honor/Memorial Gift
Give Locally
Corporate Giving
Walk With Us
Vehicle Donation
Planned Giving
DIY Fundraising
Safe Ride
About MADD
Our Story
History
Careers & Internships
Leadership
Partners
Media Center
Blog
Press Releases
PSAs
DONATE NOW
Volunteer
Get Involved
Volunteer
Volunteer Agreement
Page 1
Personal Information
First Name
Last Name
Street Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
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
Employer
Are you currently charged with a DUI/DWI offense? (A DUI/DWI conviction does not necessarily preclude a person from becoming a MADD volunteer.)
Yes
No
Have you ever been convicted of a DUI/DWI offense?
Yes
No
Are you fulfilling Community Service hours?
No
Yes, Court Ordered
Yes, Service Learning
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
Has this 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
Public Policy
Special Events
Underage Prevention
Victim Services
Walk Like MADD
Victim Impact Panel
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
What languages are you fluent in?
American Sign Language
Arabic
Cantonese
English
Filipino
French
German
Hindi
Italian
Japanese
Korean
Mandarin
Polish
Portuguese
Russian
Spanish
Urdu
Vietnamese
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
By volunteering with MADD, I give permission to use my name, likeness, pictures and/or voice in connection with still photography, in print materials, a promotional video, MADD website, MADD Facebook page, or any other purpose in furtherance of MADD's mission (the "Purpose"). MADD will own any and all rights in such still photography, print materials, promotional video or any other medium used in the furtherance of the purpose. My consent is granted with the understanding that MADD has the sole discretion to cut and edit the film, video or voice recording of my appearance. I specifically waive the rights of privacy, publicity, personal right or other rights I may have and any objections to any use made of such still photography, print materials, promotional video, and/or any other medium used containing my name, likeness, pictures, and/or voice in perpetuity and throughout the world. I release MADD, its officers, directors, employees and volunteers from all liability in connection with the Purpose.
Yes
No
I've read and agree to MADD's Volunteer Policies and Guidelines
Yes
MADD Volunteer Policies and Guidelines
Contact Information