Community Engagement

Group/Organization Information
Name of Group/Organization*
Type of Group/Organization*
Mission Statement*
City*
Are these all County employees?*
Contact Information
Name*

First NameLast Name
Title*
Preferred Pronouns*
Department
City*
Are you willing to volunteer outside of these areas?*
Email*
example@example.com
Telephone - Day*
Format: (000) 000-0000.
Telephone - Evening*
Format: (000) 000-0000.
Roster of Employees/Volunteers

We ask that you please provide the names, phone numbers and email addresses of those in your group. We wish to reach out to them individually and intend to follow up with you after contact has been made. This roster will be kept confidential. Individuals listed here should also fill out the individual volunteer registration form and mention they are affiliated this group/roster.
Roster of Employees/Volunteers*
Availability
FlexibleWeekdaysDaytimeEveningsWeekends
Accommodations
Do you require accommodations?
If necessary, are you willing to volunteer remotely and/or virtually*
Volunteer Interests
Advocacy & Human RightsAnimalsArts & CultureChildren & YouthCommunityEducation & LiteracySeniorsCrisis SupportFundraisers and Food DrivesEnvironmentHomeless & HousingHungerLGBTQPeople with DisabilitiesParks & RecreationVeterans & Military FamiliesWomen
QR Code Sign in/Sign Out Agreement

You are required to utilize the QR code upon check-in and check-out at each volunteer session whether it be hosted by Union County or any or its participating agencies. This practice tracks your hours and enables you to participate in any future incentive/recognition program.
I agree
We want to shout out about you from the mountain tops!

Please grant us permission to share your volunteer contributions with others. (optional)
Employer
Civic/Social Affiliation
Professional Affiliation
Place of Worship
Emergency Contact
Name*

First NameLast Name
Telephone - Day*
Format: (000) 000-0000.
Telephone - Evening*
Format: (000) 000-0000.
Relationship to Volunteer*
Languages Spoken Fluently
EnglishSpanishArabicArmenianBantu (including Swahili)BengaliChinese (including Mandarin and Cantonese)FrenchGermanGreekGujaratiHaitian CreoleHebrewHindiHmongItalianJapaneseKhmerKoreanNavajoPersian (including Farsi and Dari)PolishPortuguesePunjabiRussianSerbo-Croatian (including Bosnian, Croatian, Montenegrin, and Serbian)Tagalog (including Filipino)Tai–Kadai (including Thai and Lao)TamilTeluguUrduVietnamese
Volunteer Agreement

You agree that providing the Group Member Sign-in and Waiver Agreement and submitting this form that you are bound to the Volunteer Agreement.
Yes
Today's Date*

MonthDayYear
Date
Digital Signature*
Should be Empty:

Group/Organization Information

Contact Information

Roster of Employees/Volunteers

Availability

Accommodations

Volunteer Interests

QR Code Sign in/Sign Out Agreement

We want to shout out about you from the mountain tops!

Emergency Contact

Languages Spoken Fluently

Volunteer Agreement