Driver Application

PLEASE READ THIS FORM IN IT'S ENTIRETY & RESPOND TO ALL QUESTIONS

Dear Food Run Applicant,

Applications are considered based on a variety of factors such as vehicle size, the number of volunteers needed for each Food Run, and a volunteer's ability to participate in Food Run activities. You may be contacted via email after the completion of your application with additional questions to be considered for the Food Run. You will be emailed and physically mailed a Food Run itinerary if your application is accepted for the Food Run. Your itinerary will include a full daily schedule and trip planning necessities, such as what hotel we have negotiated a group rate with for volunteers.

Itineraries and schedules change often so please pay attention to all communications and read all provided materials.

Please, only apply if you are committed to attending a Food Run in its entirety. We plan the logistics of transporting the food and supplies to the Food Runs based on the applications received. Every person and vehicle counts!

Drivers loading their vehicles in Salt Lake City are a priority as they are needed to transport food and supplies to the reservation.

BY SUBMITTING THIS FORM YOU AFFIRM THAT YOU ARE PHYSICALLY AND MENTALLY HEALTHY AND ABLE TO TRAVEL TO REMOTE AREAS OF THE NAVAJO RESERVATION AND WITHSTAND INCLEMENT WEATHER AND PHYSICAL ACTIVITY.

FOOD RUN(S) I AM PLANNING TO ATTEND:


PLEASE DO NOT APPLY IF YOU WILL NOT BE PRESENT FOR THE ENTIRE FOOD RUN

All Driver Applications must be submitted by March 14, 2026.

APRIL 13-16: Navajo Mountain-Kayenta-Oljato Based in Kayenta, AZ


MAY 6-9: Many Farms-Forest Lake-Tsaile Based in Chinle, AZ


MAY 11-15: Leupp-Dilkon-Birdsprings-Tolani Lake Based in Winslow, AZ


MAY 18-21: Big Mountain-Sanders-Teesto Based in Winslow, AZ


DRIVER INFO


Your Name:

Cell Phone:

Address:
City: State: Zip:

E-mail:

Emergency Name: Emergency Phone:




VEHICLE TYPE



Please check if you plan to load your vehicle at our Salt Lake City Warehouse.

SUV Model: VAN Model:
TRUCK Model: TRUCK Cover (Shell, Roll Top, Open):


PASSENGER INFO IF APPLICABLE



If you have more than one passenger, type additional names and addresses in the "Additional Comments" box below.

Name:

Cell Phone:

Address:
City: State: Zip:

E-mail:


ADDITIONAL QUESTIONS



Please check to indicate if you are able to lift 40 Pounds. Volunteers who do not check this box will be assigned roles on the Food Run that do not require heavy lifting. Volunteers who are not able to lift 40 pounds are still needed for the Food Runs.

Please check to indicate if you are a certified emergency medical responder, nurse, or physician. If you have questions, please call Adopt A Native Elder at (801) 474-0535

Please check if you will be meeting the Elder you sponsor on the Food Run.


Any Additional Comments:





Partial Applications Will Not Be Considered For Food Run Participation.

Three Business Days After Submitting Your Application, Please Confirm Successful Receipt Of Your Application With The A.N.E. Office
(801) 474-0535
office@anelder.org

If Your Schedule Or Plans Change, Please Call The A.N.E. Office A.S.A.P. So That We May Plan Accordingly.