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Volunteer Request Form

(* indicates a required field.)

* 1). Agency, Group, or Individual
* 2). Address Line 1
3). Address Line 2
4). Address Line 3
* 5). Contact Name
6). Title
* 7). Phone
8). Fax
9). Email
* 10). Start Date
* 11). End Date
* 12). Number of people needed
* 13). Approx. number of hours per day required to complete service/task
*14). Preferred day(s) of the week for task to be performed Sun Mon Tue Wed Thr Fri Sat
*15). Preferred time for task to be performed
16). Detailed description of volunteer service/task needed
*17). Specific tools or skills necessary to complete service/task
*18). Location for task(s) to be performed
19). If work is off-campus, will you provide transportation if needed Yes No
20). Additional comments or instructions
21). May we use your organization's logo in our Volunteer Opportunities Registry? Yes (Please email it to us at vslc@acu.edu if possible.) No Unsure