Request for Silver Cord Volunteers
This form is to be used by organizations only. If you are a student and need to request a pre-approval you need to contact the Silver Cord Coordinator, Cyndi Bonus, bonusc@wdmcs.org or 515-633-4365.

Requests from organizations for a pre-approved Silver Cord activity need to be submitted online. This form must be completed and approved before it will be posted on the Silver Cord Pre-Approved Activities Web page.

If approved, the Silver Cord volunteers will contact you directly to sign-up. Please keep in mind that the posting of your activity does not guarantee that students will choose to sign up to volunteer.

Please note: Acceptable hours for pre-approval must provide a service or meet a clear need for a non-profit (501c) agency, church, school, park, senior living community, charity program, or community event.

Thank you for your support of the WDMCS Silver Cord program.
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Email *
Organization Name *
The name of the organization sponsoring or putting on the event.
Name of Volunteer Opportunity *
Title or name of the event
Description of Service Opportunity
Start Date (multi-day events only)
If your event spans multiple days, enter a start date here. Otherwise leave this field blank and use the End Date field only.
MM
/
DD
/
YYYY
End Date *
If the event takes place on a single day, enter the date of the event. If your event spans multiple days, enter the end date here.
MM
/
DD
/
YYYY
Event Time
e.g. "10:30 AM" or "6 PM" or "10:30 AM - 6:00 PM." Leave blank for all-day events.
Location *
The name of the location where the activity or event will be held.
Activity or Event Location Address
The address of where the activity or event will be held.
How to Sign Up *
A SignUpGenius link, Google Doc, email or phone # to contact for signing up, etc.
Event Website
A direct website link with information about the event they're volunteering at.
Will there be an adult present? *
Contact Name *
Contact email address *
Contact Phone *
The phone number of the contact person.
Alt. Phone
Alternative phone number, if applicable.
Is there any other information you'd like to share?
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