Organization Intake Form

"*" indicates required fields

If you are an organization that wishes to be included in our Volunteer Opportunities Database, please fill out the information below, and your organization and volunteer opportunities will appear in our database.

If you have any questions or wish to make any changes after submitting your information, please contact Daniel Rothner at (201) 244-6702 or [email protected].

Organization*

Organization Address*

Organization City, State ZIP*

Website*

Contact Name*

Title

Phone*

Fax

Email Address*

In the space provided below, please write a brief description of your organization:*

Please describe the volunteer opportunities that you offer:*

Minimum Age to Volunteer*

Do you offer family volunteer opportunities?*

Yes

Category*

Please check the one that most relates to your organization.

State*

Country*

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