Fields marked by * are required. A copy of your request will be e-mailed to you.
Please contact the Office of Civic Engagement if you have any questions.

*Supervisor name:

*Site:

*E-mail address:

Phone number and extension:

Day(s) and times volunteer is needed (less than 1 hour is difficult to fill):

Number of volunteers you would like at a time:

Number of volunteers you would like overall each semester:

Requested duties/responsibilities for the volunteers: