Charity Opportunity Submission Form
Please complete the form below. Once you are finished, click Submit. The application, copies of the drivers license, and auto insurance will automatically be sent to our office for processing
Medical Volunteer Information
Cause Categories
Hunger Relief
Seniors
Youth & Mentorship
Homeless Services
Animal Rescue
Environment & Cleanups
Education & Literacy
Medical Support
Admin Help
Fundraising / Events
Faith-Based
Community Building
Other
Estimated Time Per Shift in Hours
Frequency
Please Select
One-Time
Weekly
Monthly
Flexible
Preferred Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturaday
Sunday
Preferred Time of Day
Morning
Afternoon
Evening
Location Information
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age & Accessibility Requirements
Minimum Age
Background Check Required?
Please Select
Yes
No
Accessibility Info:
Wheelchair accessible, seated task
Description of the Role
Explain what volunteers will do, who they’ll serve, and why it matters.
Organization Name
Contact Person
Contact Email
example@example.com
Phone (optional)
Website/Social Links (optional)
Upload up to 3 photos to show your mission in action.
Upload Area (JPEG/PNG, max 2MB each)
Upload up to 3 photos to show your mission in action.
Browse Files
Drag and drop files here
Choose a file
(JPEG/PNG, max 2MB each)
Cancel
of
Testimonials or Video (Optional)
Add a quote from a past volunteer
"Volunteering here was the best two hours of my week!" – Rachel T.
Upload a short video explaining your mission
Browse Files
Drag and drop files here
Choose a file
(MP4, 60 sec max, optional)
Cancel
of
Submit
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