Agency Information Sheet

Site Name / Volunteer Opportunity Name

Add name of site where work will be done.

Description of Volunteer Opportunity *

Opportunity Physical Site Address

Street Address Address Line 2 City State/Region/Province Postal / Zip Code

This is the address where the volunteer will report.

Start Date of Opportunity *

dd-MMM-yyyy

Please indicate the period of time do you want volunteers to be able to express interest or sign up for this opportunity (NOTE- If this an ongoing opportunity, enter your "end date" for no longer than 2 years after your "start date").

End Date of Opportunity *

dd-MMM-yyyy

Please indicate the period of time do you want volunteers to be able to express interest or sign up for this opportunity (NOTE- If this an ongoing opportunity, enter your "end date" for no longer than 2 years after your "start date").

Name of Volunteer Coordinator/Site Manager

First Last

Person Authorized to work with CVNL Staff

Volunteer Coordinator/Site Manager Contact Phone Number *

Volunteer Coordinator/Site Manager Email Address *

Name and Email of staff authorized to sign timesheets at this location *

Each Authorized Staff Member will receive a signature request from CVNL Staff

Available Volunteer Shifts - Days and Times *

What days and times can volunteers serve? Site Hours

Minimum number of hours required to serve

Is there a minimum number of hours a volunteer can serve? Ex: 2 hour minimum

Answers to questions marked "Other" above

Please add any additional information we may need

Date-Time

dd-MMM-yyyy HH:MM AM/PM

Thank you for registering your agency for our Court Referral Program

Next steps - Once we have reviewed your information we will send you an email requesting your completion of the Memorandum of Understanding and to supply approving staff member signatures. A staff member will reach out to you shortly.

In the mean time, please contact us if you have any questions, courtreferral@cvnl.org

Partner Agency Information Sheet for Court Referred Volunteering

Partner Agency Information

Volunteer Opportunity Information

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