Volunteer Assistance Request

At EMEPA, we are committed to serving our community. If your organization needs volunteers for an event, project or initiative, please complete the form below. While we cannot guarantee availability, we will do our best to match our employees’ skills and time with your needs.

Volunteer Assistance Request

Organization Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Contact(Required)

First Last

Phone(Required)

Email(Required)

Date of Volunteer Opportunity(Required)

Event/Project Location (if different from mailing address)

Timeframe/Duration of Volunteer Work(Required)

Nature of Volunteer Work Requested(Required)

Briefly describe the volunteer work requested.

Preferred Volunteer Skills (if applicable)

Number of Volunteers Needed(Required)

Please enter a number from 1 to 100.

Who Directly Benefits from the Project or Initiative?(Required)

On-site Contact (if different than above listed contact)

First Last

On-site Contact Phone

Have Your Organization Partnered with Us Before?(Required)

Yes

Additional Information/Comments