Application Form

Is this a 501(c)(3) organization?

Federal EIN Tax-ID Number

What type of organization?

If Other, Please explain:

Summary of the organization's mission or mission statement

How many years has the organization been in operation?

How many volunteers do you have currently?

Are those supervising volunteers trained in/familiar with volunteer management procedures?

Primary impact area:

Agricultural

Animal advocacy

Arts & culture

Disability/therapeutic support

Disaster & emergency response

Education

Eldercare/Seniors

Employment

Environmental

Food assistance

Health & wellness

Housing and shelter

Immigrant & refugee

Justice & legal

Language & translation

LGBTQ+ advocacy

Mental & behavioral health

Sports & recreation

Substance use

Transportation

Utilities & income support

Other

Populations served:

Children/youth

Families

Homeless

LGBTQ+ community

Low income

Offenders/Ex-offenders

People with disabilities

Senior citizens

Veterans/military

Other

Estimated residents served annually

Are there established safety protocols (evacuation routes, medical emergency prep, active shooter, food handling training, public health mandates, etc.) for in-person volunteer opportunities?

What emergency equipment and first aid supplies are available?

AED

Eye wash station

Fire extinguisher

Fire protection system

First aid kit

Gloves

Hand sanitizer

Masks

Other

Is there anything else that would be helpful to know about the organization?

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