CHCC Volunteer Request Form for Soudelor Recovery Efforts
Please fill out this form if you represent a CHCC program or division and are looking for volunteers to help you with Soudelor recovery efforts. For now, volunteer requests are limited to CHCC needs. Thank you.
Department, Program or Division *
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Requestor's First Name *
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Requestor's Last Name *
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Primary Phone number contact *
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Secondary Phone number contact
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Email Address
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Name and position of mentor who will be responsible for the volunteer(s)
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Please describe your program/department in terms a volunteer will understand
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How many volunteers would you like?
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Please list the date(s) and time(s) that you need the volunteer(s).
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We have some young adults who are interested in volunteering. Do you require adult volunteers?
Do you need volunteers that report on a regular basis or one-time only?
Describe the duties the volunteer would do, as specifically as possible: (Example: Data entry and other computer tasks, visiting with patients, cleaning, translating, running errands.)
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Are there any skills or abilities desired or required (such as clinical background, language skills)?
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Comments
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