Agency Volunteer Request Form

Please complete the following information for each project that your agency would like to host.  Multiple volunteer request forms can be completed and submitted.  Requests should be submitted at least two weeks prior to the project date.

AGENCY AND CONTACT INFORMATION  

Agency Name: 

Agency Address (street, city, state, zip): 

Agency Contact Person: 

Contact Person's Email Address: 

Contact Person's Phone Number: 

Agency Website Address: 

PROJECT INFORMATION

General Information Section

Project Title 

Project Site Address:

Project Description:

 

Type of Project:

On-Going Project - Please complete Ongoing Project Information Section

Special Event (Typically one day) - Please complete Special Event Project Information Section

Minimum Number of Volunteers Needed: 

Maximum Number of Volunteers Needed: 

Minimum Age for Volunteers: 

Do volunteers under 18 need adult supervision?: Yes No

Ongoing Project Information Section

 Time Commitment (in hours):   

Are the hours per day, week or month?:  Day   Week  Month

Preferred Duration of Volunteer Commitment (e.g., one year): 

Day of the Week Preference:

Weekday    Weekend    No Preference

Is training/orientation required?  If yes, describe process including schedule:  

Special Event Project Information Section

Project Date:  

Project Start Time:  

Project End Time:

Estimated number of hours to complete project:

List needed supplies that will be provided by your organization: 

List of supplies needed from volunteers: 

Special Skills Requirement: 

Comments or questions: