VolunteerNECT - Organization Registration Form

Thank you for your interest in listing your organization's volunteer opportunity.

Please complete the below section with general details about your organization.
Our annual participation fee will be presented at the end of the form.

*Please note that at this time, participation is limited to organizations and/or opportunities that are located in the communities served by the collective Rotary Clubs (Putnam, Pomfret, Thompson, Woodstock, Eastford, Plainfield, Sterling, Canterbury, Killingly and Brooklyn).
Please indicate if you are a;*

New organization registering for the first timeCurrently registered organization looking to update and/or add volunteer opportunities
Organization Name*
Mission Statement / Purpose of Organization*
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.
Website
Facebook
Instagram
Logo and Organization Photos

pdf, doc, docx, zip, jpg, jpeg, png, gif
Cancelof
Primary Contact - Full Name*

First NameLast Name
Title*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Please complete the below section about your volunteer opportunity(s).

You may add (1) all inclusive opportunity OR add multiple listings by clicking the "ADD ANOTHER VOLUNTEER OPPORTUNITY" at the bottom of the section.
What type of opportunity is this?*

One-timeSeasonalRecurring
What is the location of this opportunity?*

PhysicalVirtual / RemoteBoth Physical & Virtual / Remote
Date of Volunteer Opportunity*

MonthDayYear
Rain Date (if applicable)

MonthDayYear
What days of the week does this volunteer opportunity occur?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What seasons does this volunteer opportunity occur?*

WinterSpringSummerFall
What time commitment is required?*
EX: 2:00pm to 7:00pm / 2-hour blocks
Please provide a description of the volunteer opportunity available with your organization.*
Are there any skills and/or experience that would be ideal for a person volunteering?*
Please identify the cause for this organization volunteer opportunity.*

AgricultureAnimalsArts & MusicChildren & YouthDisabilityDisaster ResponseCommunity & Economic DevelopmentEducationEnvironment & SustainabilityFinancial Literacy & Personal FinanceHealth & MedicineHistoricalHousing & HomelessnessHuman Rights & Civic LibertiesHunger & Food SecurityLegal AssistanceLGBTQMediaMental HealthPovertySeniors & RetirementSports & RecreationSubstance Abuse & AddictionVeteransOther
How should people apply? (EX: online form, website, email or call)*
ADD ANOTHER VOLUNTEER OPPORTUNITY
What type of opportunity is this?*

One-timeSeasonalRecurring
What is the location of this opportunity?*

PhysicalVirtual / RemoteBoth Physical & Virtual / Remote
Date of Volunteer Opportunity*

MonthDayYear
Rain Date (if applicable)

MonthDayYear
What days of the week does this volunteer opportunity occur?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What seasons does this volunteer opportunity occur?*

WinterSpringSummerFall
What time commitment is required?*
hour(s)
Please provide a description of the volunteer opportunity available with your organization.*
Are there any skills and/or experience that would be ideal for a person volunteering?*
Please identify the cause for this organization volunteer opportunity.*

AgricultureAnimalsArts & MusicChildren & YouthDisabilityCommunity & Economic DevelopmentEducationEnvironment & SustainabilityFinancial Literacy & Personal FinanceHealth & MedicineHistoricalHousing & HomelessnessHuman Rights & Civic LibertiesHunger & Food SecurityLegal AssistanceLGBTQMediaMental HealthPovertySeniors & RetirementSports & RecreationSubstance Abuse & AddictionVeteransOther
How should people apply? (EX: online form, website, email or call)*
ADD ANOTHER VOLUNTEER OPPORTUNITY
What type of opportunity is this?*

One-timeSeasonalRecurring
What is the location of this opportunity?*

PhysicalVirtual / RemoteBoth Physical & Virtual / Remote
Date of Volunteer Opportunity*

MonthDayYear
Rain Date (if applicable)

MonthDayYear
What days of the week does this volunteer opportunity occur?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What seasons does this volunteer opportunity occur?*

WinterSpringSummerFall
What time commitment is required?*
hour(s)
Please provide a description of the volunteer opportunity available with your organization.*
Are there any skills and/or experience that would be ideal for a person volunteering?*
Please identify the cause for this organization volunteer opportunity.*

AgricultureAnimalsArts & MusicChildren & YouthDisabilityCommunity & Economic DevelopmentEducationEnvironment & SustainabilityFinancial Literacy & Personal FinanceHealth & MedicineHistoricalHousing & HomelessnessHuman Rights & Civic LibertiesHunger & Food SecurityLegal AssistanceLGBTQMediaMental HealthPovertySeniors & RetirementSports & RecreationSubstance Abuse & AddictionVeteransOther
How should people apply? (EX: online form, website, email or call)*
ADD ANOTHER VOLUNTEER OPPORTUNITY
What type of opportunity is this?*

One-timeSeasonalRecurring
What is the location of this opportunity?*

PhysicalVirtual / RemoteBoth Physical & Virtual / Remote
Date of Volunteer Opportunity*

MonthDayYear
Rain Date (if applicable)

MonthDayYear
What days of the week does this volunteer opportunity occur?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What seasons does this volunteer opportunity occur?*

WinterSpringSummerFall
What time commitment is required?*
hour(s)
Please provide a description of the volunteer opportunity available with your organization.*
Are there any skills and/or experience that would be ideal for a person volunteering?*
Please identify the cause for this organization volunteer opportunity.*

AgricultureAnimalsArts & MusicChildren & YouthDisabilityCommunity & Economic DevelopmentEducationEnvironment & SustainabilityFinancial Literacy & Personal FinanceHealth & MedicineHistoricalHousing & HomelessnessHuman Rights & Civic LibertiesHunger & Food SecurityLegal AssistanceLGBTQMediaMental HealthPovertySeniors & RetirementSports & RecreationSubstance Abuse & AddictionVeteransOther
How should people apply? (EX: online form, website, email or call)*
How would your organization like to pay the $25.00 annual participation fee?*

OnlineBy Check
Check payment are to be made payable to Putnam Rotary Club and mailed to;
P.O. Box 604, Putnam, CT 06260

An invoice will be automatically generated and attached to your confirmation email.
Please note that your organization listing will not be added to the website until payment has been received.
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Volunteer NECT - annual payment
$25.00

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