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Volunteer Request Form
Alexa Smith
2025-08-20T12:04:50-04:00
Volunteer Request Form
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School Information
School Name
Requestor Name
Requestor Position
Requestor Phone
Please include your direct extension.
Requestor Email
Request Information
Please note, SSV will do our best to fulfill requests according to availability of eligible volunteers
Please select the type of volunteer you are requesting
Mentor - volunteers who meet weekly with students to help them achieve academic and social-emotional goals.
General Support- volunteers who can fill other needs (i.e., one time projects, classroom assistance, clerical or library support, etc.)
Type of mentor:
One-on-one (One volunteer meets with one student at a time)
Small group (One volunteer meets with 3-5 students at a time)
Student 1
Student Name
Student ID #
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Remove
Student 2
Student Name
Student ID #
Add
Remove
Student 3
Student Name
Student ID #
Add
Remove
Student 4
Student Name
Student ID #
Add
Remove
Student 5
Student Name
Student ID #
Add
Remove
If there is a time frame that is ideal for volunteers to meet with students, please indicate below:
Monday
Tuesday
Wednesday
Thursday
Friday
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Remove
General Support Request Information
Please provide a brief description of your general support request below:
Number of Volunteers Needed
Day(s)/time(s) for your request:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Frequency
One time
Weekly
Monthly
Other
Other
Please let us know the desired frequency.
Start Date
End Date
General Support Contact Person
If there is a contact person other than the requestor, please indicate here.
Contact Person's Phone
Contact Person's Email
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