1-800-Volunteer

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ShoreCAN Volunteer Database

New Opportunity Worksheet

Organization Name: _______________________________________________________

Volunteer Job Title: _______________________________________________________

Description: _____________________________________________________________

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Special Requirements: _____________________________________________________

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Volunteers Needed: __________ Flexible? Y N

Opportunity Location (If different than organization location): _____________________

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Opportunity Contact (If different than organization contact): _______________________

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Skills Desired:

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Volunteer Options

Check all that apply.

Groups are welcome.

This opportunity is appropriate for family volunteering.

This opportunity is for older adult volunteers.

This opportunity is appropriate for youth volunteers.

If checked, which age ranges (please check all that apply)?

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Age 14 and under

Age 15-18

Age 18 through college age

This opportunity can be done virtually from outside this geographic area.

If checked, please answer the following:

Is access to a computer required? Y N

Is Internet access required? Y N

This opportunity is handicap accessible.

Public transportation is available.

Court referrals are welcome.

RSVP (Retired and Senior Volunteer Program)

Service learning applies.

Food is available. Details:

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Lodging is available. Details:

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Populations Served and Social Issues

Select all the populations served by this opportunity.

Groups

Animals

Families

Gay / Lesbian / Bisexual /

Transgender

Ethnic Groups

Immigrants / Refugees

Low Income / Public Assistance

Recipients

Racial Groups

Retirement Communities

Disabilities

Mobility

Learning

Cognitive

Hearing

Vision

Emotional

Seizures

Age Groups

Sex

Infants / Toddlers (0-4)

Children (5 - 14)

Adolescents (15 - 18)

Young Adults (19 - 25)

Adults (26 - 54)

Older Adults (55+)

Male Only

Female Only

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Select all the social issues addressed by this opportunity.

Animal Protection & Welfare

Arts / Culture

Civil / Social Action / Advocacy

Community / Organizational

Development

Crime / Legal

Disaster / Emergency

Drug / Alcohol Abuse

Education

Employment / Work

Environment

Health

Homelessness

Housing

Human Services

Hunger / Nutrition

Immigration

Dates & Times

Duration: Ongoing ____________ One-Time ____________________________

Start Date: _________________________ End Date: _______________________

Literacy

Mental Health / Crisis

Intervention

Mentoring

Recreation

Senior Citizens

Special Events

Teen Pregnancy

Youth Development

Day(s) of the Week: Mon Tue Wed Thu Fri Sat Sun

Time of Day: Morning Afternoon Evening

Time Details: ____________________________________________________________

Hours Needed: _________________ Flexible? Y N

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