Volunteer Station Registration Form

Once approved * areas will be open for public viewing on our website.

 *Agency Name:

 Non-profit status 501 (3) (c) :   Yes       No

EIN Number:

Executive Director First:     Last:    

Email:

Volunteer Manager First:     Last:    

Email:      

(email which volunteers responds to - if none use vcmc60050@yahoo.com)

Agency Phone:

Address:

*City: St: Zip:

Mailing Address if different than address:

Volunteer Manager Phone:

* Website:

* Mission Statement:

 

* Description of what your agency does: 

*How many volunteers are involved with your program annually?      

*What is the youngest age your of volunteers?    

*Do you require volunteer training and orientation?   Yes       No