Agency Registration Form

Agency Name
Web Site
Population(s) Served (Please select one or two that best describe who you serve)		Select Population Served One Animals Arts and Culture Children and Youth Computers and Technology Disabled and Mentally Ill Domestic Violence Elderly Environmental Families Food General Public Health and Medicine Homeless and Housing Human and Civil Rights Hunger and Food International Politics Religion Sports and Recreation Women Select Population Served Two Animals Arts and Culture Children and Youth Computers and Technology Disabled and Mentally Ill Domestic Violence Elderly Environmental Families Food General Public Health and Medicine Homeless and Housing Human and Civil Rights Hunger and Food International Politics Religion Sports and Recreation Women
Agency Description
Are there service opportunities for INDIVIDUAL volunteers		Yes No
Please describe the INDIVIDUAL opportunities
Are there service opportunities for a GROUP volunteers		Yes No
Please describe the GROUP opportunities
Acceptable grade or age of Volunteers		Select an Age or Grade Any Middle School Over 16 High School Over 18 Over 21
Does the agency provide training or orientation?		Yes No
Does the agency provide supervision?		Yes No
Are there one-time opportunities or special events?		Yes No
Please indicate the dates of special events
Hours during the day that people may volunteer
Please indicate if there is a minimum number of hours or length of service required
Contact Person
Street Address
City
State		Select State Maryland DC Pennsylvania Virginia
Zip Code
Email Address Volunteer Carroll may contact you with Volunteer Carroll Happenings or Opportunities. We never share or sell email addresses.
Phone Number
Fax Number