If this is the first time you have filled out a volunteer request form, you must fill out items marked with a * on the first half of this form.
Fill out the first half of this form if you need for general volunteer assistance. Example: A hospice service looking for volunteers to do yard work for thier clients would fill out the first half of this form.
Please use the second half of the form for volunteer requests that relate to a specific project or need within your organization. Example: A hospital would use this portion of the form if they needed help in preparing or serving a holiday dinner.
*Name of Organization:
*Organization Address: *Organization City, State, and Zip Organization Web Site:
*Contact Person:Title:*Contact Phone:*Contact Email:
*Organization Mission/Purpose:
Location and Directions:
*Please check any requirements that apply to volunteers at you organization:Application Background Check (DCFS or Criminal) Orientation/Training
*Does your organization offer any type of liability coverage for its volunteers? Yes No If Yes, Please describe the type of coverage offered:
Description of Volunteer Opportunity:
Special Skills Needed or Required:
Is training offered? If yes, How extensive? What kind?
*Check all categories that apply to volunteer opportunities within your organization:
Name of Organization:
Contact Information (If different than organization contact listed on the first half of this form):Name Title Phone Email Address
Duration of Project: Example:6/5/2005 to 7/4/2005
Number of Volunteers Needed Days and Times Needed Example: Mondays 2-5Pm, Tuesdays 3-6pm, etc.
Special Skills needed or Required:
Is training provided? If yes, How extensive? What kind?
What volunteer categories would this opportunity fall under? (Check all that apply)
One-Time ProjectDate by which organization should be contacted regarding volunteers for this project:
On-going ProjectDate by which information for this project should be next updated:
