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A Culture of Care

Read Smith’s plans for the fall 2021 semester.
Current Operating Mode: GREEN

Agency Confirmation Form

This form must be submitted each time a new volunteer uses CSO vans to drive to your agency.

Agency Information

Driver Information

Frequency of Use

Travel Time

Please let us know the travel time to and from your agency.*


More Information

Please use this space to provide us with any more information.

Volunteer Certification

By checking below, you certify that the student will be volunteering at your agency during the times stated on this form.*