Vincentian Service Day

Organization Name *

Contact Person *

Contact Person Job Title

Service Day Contact Person (if different from Contact Person)

Phone *

Service Day Phone (if different from Contact Phone)

Email *

Best way to Communicate *

Email

Phone

Organization Address *

Address where volunteers will do service *

Brief description of your organization *

Approximate # of Volunteers you can accommodate *

Minimum Volunteers Required *

Project Description *

Clothing/Attire Preferences

Volunteers will be working *

Indoors

Outdoors

Both Indoors and Outdoors

If volunteers will be working outside, do you have an alternative in case of inclement weather? Please describe.

Do volunteers need to bring any supplies as part of their service?

Yes

No

Please provide description for supplies that volunteers need to bring.

Is your site accessible for those who may need accommodations (i.e. the following: a ramp for someone who uses a wheelchair, would an individual with hearing or vision loss be able to fully participate as a volunteer, etc.)? *

Yes (please describe)

No

Accessibility Friendly Description

Do you have any COVID-19 safety protocols/guidelines that you would like volunteers to follow? If yes, please describe? *

Yes

No

COVID-19 safety protocols/guidelines description

Special Concerns, Requirements, Questions

Do you suggest another organization that would be interested in receiving volunteers

Please list the organization's contact information (if applicable)

Attachment

Vincentian Service Day - Community Intake Form

Smart Form Standard Web Part 2

Organization Information

Project Details

Other