Instructions

Please use this form to request spontaneous volunteers, volunteer teams, or national service volunteers including AmeriCorps, VISTA, NCCC and SeniorCorps to assist your agency in current disaster response and recovery work. As volunteers become available and conditions are safe, a coordinator will contact you for more information and to set up a volunteer referral. Please dial 304-558-0111 with questions. 

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* 1. Please enter your contact information.

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* 2. Please enter the name of the Volunteer Position needed: 

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* 3. Please enter the number of volunteers needed in this position (in total): 

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* 4. Please enter the minimum number of hours each day a volunteer must be available to help in this position. 

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* 5. How many days (or how long) should the volunteer be available? (Please include a date range if you can.) 

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* 6. Please complete this sentence regarding volunteer capabilities. Volunteers must be able to....

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* 7. Please complete this sentence. For this position, volunteers must be ____ years of age. 

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* 8. Who should we follow up with at your agency to clarify need/location/capabilities and other details? (Provide name, cell phone and email at minimum.) 

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* 9. Does your agency have the following as part of a regular volunteer management program which you will utilize during this volunteer placement? (Check all that apply.) 

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