Service Site Application : Mercy Volunteer Corps

Service Site Renewal Application

This application requests information about the mission and work of your organization as well as your intended use of a Mercy Volunteer in contributing to this work. Submitting this application demonstrates a serious desire on the part of your organization to partner with MVC. Please type your responses and submit this renewal application by Friday, December 8, 2023.

Download the MVC Position Description Form to be submitted on page 4 of this application. View the 2024-2025 Mercy Volunteer Corps Handbook.

Service Site Application Renewal

Step 1 of 4

Organization Information
Name of Organization
First
Mailing Address
Street Address Address Line 2 City State ZIP Code
Physical Address (if different from above)
Street Address Address Line 2 City State ZIP Code
Phone Number
Website
Site Contact
The person who would manage the relationship with MVC
Name
First Last
Position Title
Phone Number (with extension)
Email Address
Site Supervisor
The person who would supervise the volunteer
Name
First Last
Position Title
Phone Number (with extension)
Email Address

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Service Site Application

Service Site Renewal Application

Service Site Application Renewal

Step 1 of 4

Organization Information

Site Contact

Site Supervisor

General Information

Organization Information

Estimate what your organization would pay a salaried staff member to do the work that you would assign the Mercy Volunteer.

Financial Information

Volunteer Position Description

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