Darien High School Volunteer Center

DARIEN HIGH SCHOOL
Volunteer Center

Agency Registration Form

Please complete the following form as fully as possible. You can email the DHS Volunteer Center with any questions at volunteerdhs@gmail.com

Contact Information

Agency Name

Street Address Town State Zip Code

Webpage

Contact Person Name Contact Email Address

Contact Phone Number

Details and Description

Mission Statement:

Description of Volunteer Needs and Jobs:

Information on Agency's Special Events:

Description of Summer Opportunities:

Check all that apply to your group

Social or Emergency Services
Special Events
Special Needs
Sports
Tutoring
Technology
Volunteer Opportunities During the Summer?
Work with Children
Work with the Elderly

Requirements/Restrictions: Check all that apply

Complete a Training Program Prior to Volunteering
Minimum Service Hours
Minimum Age (if yes, give age in other requirement box)

Other requirement(s)

Submit Your Group Registration

DHS Volunteer Center

Darien High School . 80 High School Lane . Darien . CT 06820
Phone: 203.655.3981 . Fax: 203.656.3631

Contact DHS Webmaster Sean Otterspoor

Last Modified 02/8/12