First Name *
  Last Name *
  Daytime Phone *
  Evening Phone *
  Alternative Phone
  Email Address
  Home Zip Code*
  Work/School Zip Code*
  Closest landmark to where you live?
Gas station, store, etc*
  Closest landmark to where you work/attend school?*
  I can car pool
(All participants take turns driving)
You MUST be 18 or older
  I need a ride
(Someone else drives)
You MUST be 18 or older
  I can provide a ride
(I will drive and others will just ride)
You MUST be 18 or older
  * required fields  

Your Typical Schedule (Only list times when you could carpool)

  Monday Tuesday Wednesday Thursday Friday
From Home to Work/School:
From Work/School to Home:
  Sunday Saturday      
From Home to Work/School:      
From Work/School to Home:      

IMPORTANT NOTE
This voluntary electronic ride board is made available as a means to create carpools or share rides.

Individuals using this voluntary forum hold harmless Patrick Henry Community College, its officers and employees from any injury, liability, or harm whatsoever as a result of their carpooling or ride sharing.

Any information displayed on this board is voluntary and appropriate caution should be used in revealing any personal information to others.

Patrick Henry Community College does not review or check information, it does not screen, approve or do any background checks on potential drivers or riders, nor does PHCC facilitate making direct arrangements for any user of this system.