ME³ Volunteer Registry Organization Needs Assessment

Communities In Action
Organization Needs Assessment: Registration, Part I
(All fields required)

A printable version of this form is available here. Please mail printed forms to: ME³, P.O. Box 10683, Raleigh, NC, 27605

Organization Name:

Year Founded:

Contact Person/Volunteer Coordinator:

Contact Phone:

Contact E-mail:

Office hours or best time(s) to contact:

Organization mission/description:

Volunteers and Volunteer Needs

Estimated number of volunteers, performing a variety of duties, that our organization uses to function on a
regular basis. (This includes everything from your organization’s administrative duties to any direct services you
may provide to your constituents/clients.)

Estimated number of volunteers our organization could use/needs to perform these or other duties to function,
grow, or improve our services (if applicable).

Our organization utilizes or would like to utilize volunteers for the following general purposes (Example: "Clerical help"):

Skills or talents we expect/hope new volunteers helping our organization (in any capacity) will have might include:

We have needs/opportunities for volunteers in the following categories (check all that apply):

Individuals

Small groups or clubs (3 to 10 people)

Large groups or clubs (Up to 50 people)

Youth ages 16 to 18

Youth ages 12 to 16

Youth under age 12

Retired seniors

Families/Parents and Children

Our volunteer opportunities may fall in the following categories (check all that apply):

One-shot/one event service opportunities

Semi-often (once a week)

Often (2+ times per week)

Full-time (5+ times per week)

Occasional (once or twice a month)

Short-term commitment (0-2 months)

Long-term commitment (3-12 months)

Times/Days we may need volunteers include (check all that apply):

Time/Day

Mon

Tues

Wed

Thurs

Fri

Sat

Sun

Any Day

Mornings

Afternoons

Evenings

Overnight

Any Time

Does your organization have liability insurance to cover volunteers?

Yes

Additional comments:

When you submit this form, it will be viewed by an ME³ representative. TO COMPLETE YOUR COMMUNITIES IN ACTION
REGISTRATION, go on to complete the Volunteer Opportunities form by clicking "Submit Form" below. If that button does not work,
click here to continue. You will be contacted for confirmation of receipt and with any further questions/clarifications needed about
your organizations volunteer needs.