United Way of the Capital Region -

	Volunteer Center

	Volunteer Opportunities

	Day of Caring

	Youth Programs

	Corporate Volunteer Programs

	Volunteer of the Year program

	Fund Distribution Panel information


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Instructions For Form Completion:

Please list volunteer opportunities below. Be as specific as possible - this will enable United Way of the Capital Region to appropriately match volunteers with projects. Be sure to answer all questions. Please submit separate project applications for EACH one-day project you need performed; however, please recognize that those requiring special skills (carpentry, plumbing, etc.) are more difficult to fill. Feel free to submit as many projects as you wish to have completed!

In submitting this application, you, as coordinator, and your agency agree to the following:

To contact the Day of Caring Company Coordinator prior to the event.
To carefully organize projects so that volunteers have a fulfilling and positive experience. Volunteers should walk away with a sense of accomplishment and a feeling of pride for having contributed to their community. Supplies and equipment should be on-hand, projects ready to commence, and a staff person available to greet volunteers when they arrive at 9 a.m.
To ensure that volunteers are working in a safe environment. This means you will conduct a risk assessment of project site, ensure that a first aid kit is at each work site, develop an emergency action plan for each site (and make it available at each site); a phone is available at each site; and work sites are well ventilated, if using paint or cleaning products, etc.
To ensure that volunteers are notified in advance of any adverse conditions that may exist at the project site (such as poison ivy, insects, or other hazards). This way volunteers have the opportunity to properly prepare for the project or to decline participation if necessary.
To ensure that adequate supplies and equipment are available and on-site when volunteers arrive. This includes safety/protective equipment (safety glasses, gloves, breathing masks).
To have an agency representative available at all times to answer questions and supervise at each project site.
To provide adequate lunch and refreshments for your volunteers. This includes providing water and/or other beverages throughout the day.
To provide volunteers with a brief tour of your facility and an overview of the services you provide, highlighting their impact on the community. This will give volunteers a greater appreciation of the work you do and heighten public awareness of your agency.
To provide typewritten directions to each project site from major highway routes (I-81, I-83, Routes 11 & 15).

Request Type

Day of Caring
Youth Day of Caring

Agency Info

Name:
Street Address (line 1):
Street Address (line 2):
City: State: Zip:

Project Coordinator Info

NAME - First: MI: Last:
Job Title:
E-mail Address: Office Phone:

Project Site Info

Site name:
Street Address (line 1):
Street Address (line 2):
City: State: Zip:

Site phone: (This should be a number where the project coordinator can be reached during the project.)

Directions to site:

Directions from major routes (I-81, I-83, 11&15) MUST be included.

Project Details

Project Description:

Number of Volunteers Required:
minimum: maximum:

Qualificiations or Special Skills Needed:

Items Volunteers Should Bring (rakes, hammers, etc.):

Adverse Working Conditions (List presence of allergens, such as high levels of dust, poison ivy/oak, insects, snakes, fumes; sharp objects; etc.):

Level of Physical Exertion Required:
     minimal/sedentary
     moderate (cleaning, etc.)
     heavy (painting, landscaping, etc.)

Volunteers Should Dress:
     in office clothes
     in casual clothes
     in work clothes (not afraid to get dirty)
     in heavy duty work clothes (gloves, sturdy shoes, long pants/sleeves)

Project Will Be Conducted:
     indoors
     outdoors
     combination
     rain or shine: Yes No

Will volunteers be working with clients?Yes No
Age Range of Clients, Special Needs, Disabilities, etc.:

Will volunteers be asked to sign a confidentiality statement or disclosure of any kind?Yes No
If yes, please specify: