By checking the box above and submitting this Ride United application I certify that I am familiar with all facts as stated in this application. I certify that all information provided is true and accurate, and contains no willingly falsified or incorrect information. I understand that providing any false information may delay the process of this application, may cause this application to be rejected, or result in being barred from obtaining any future Ride United services with Rappahannock United Way. I certify that this application contains no false statements.