Agency Confirmation Form

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

Agency name
Supervisor name
Supervisor phone
Supervisor e-mail

Volunteer Confirmation

I certify that the following student will be volunteering at our agency at the following times:
Student name
Weekly Biweekly Monthly Varies

Please include travel time to and from the agency.

Additional ad-hoc times