Online Agency Application Form

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If your organization wants to use RSVP for volunteer placement, fill out this form.

Use this form to enroll your organization in RSVP's volunteer placement.

Organization Info
(Required)
Name of the organization
(Required)
Please check which best describes your organization
Public or Private Non-Profit Organization
Nonprofit or For-profit Duly Licensed Proprietary Health Care Facility (Nursing Home, Assisted Living)
Governmental Public Agency
Other
If you checked "Other" above, please describe your organization.
If applicable, how long has your organization had 501(c)(3) Status?
(Required)
Name of Director/Owner/CEO of your Organization
Contact
(Required)
Name of Volunteer Manager/Contact Person
(Required)
If different than your mailing address.
(Required)
(Required)
Volunteers
(Required)
Is the building where your office is located Handicap Accessible? (Note: Answering NO to this question does not mean anything negative with RSVP. We just have to have this information for our records.)
Yes  No
(Required)
Identify what you will want RSVP volunteers to do for your organization.
(Required)
What is your organization's Mission Statement?
(Required)
How does your organization benefit the local Mesa County Community?
(Required)
Briefly tell us the FIVE most important things you would like prospective volunteers to know about your organization or organizational culture:

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