Get Whistlestop Star Program Form

Completing the Whistlestop Star Program Form online is a crucial step in applying for safe transportation and reimbursement services. This guide provides clear instructions to ensure you fill out each section accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the Whistlestop Star Program Form and open it in the editor.
2. Review the responses noted during your phone interview. Make any necessary corrections, as your detailed responses will help determine your qualification for the program.
3. Fill in your personal information including your name, housing complex, home address, daytime phone, evening phone, cell phone, email address, birth date, and primary language.
4. In case of emergency, provide the contact information for a person who can be reached in such situations, including their name, relationship to you, and their phone number.
5. Answer questions regarding your living situation, vehicle ownership, driving ability, ADA paratransit services approval, and any disabilities or health conditions you have.
6. Indicate the mobility aids or specialized equipment you regularly use and the factors influencing your transportation choices.
7. Provide details about your recent transportation usage, including doctor visits and other travel needs. Specify the frequency of these trips.
8. Discuss the type of volunteer driver assistance you may need, including any family member involvement and the potential impact if they are not approved as a driver.
9. Complete the additional information section, sharing any further details that may assist in understanding your needs in relation to the STAR program.
10. Sign and date the Applicant Certification to confirm the accuracy of your application and understanding of the program policies.
11. Once all sections are completed, review your form for accuracy, then save your changes, download the form, print it, or share it as necessary.

Complete your application online today to join the Whistlestop Star Program.