Volunteer Site Registration Form

MAHUBE-OTWA/RSVP Volunteer Station Registration and Memorandum of Understanding

Serving Mahnomen, Hubbard, Becker, Otter Tail & Wadena Counties
Between: MAHUBE-OTWA Community Action Partnership, Inc.

1125 West River Road Detroit Lakes, MN 56501

Contact: Cynthia McDonough

Phone: 218-847-1385 ext 140

Email: cmcdonough@mahube.org
And (Name of Site)
Address of Site

Street Address

Street Address Line 2

CityState

Zip Code
Contact Person(s)
Email Address
This Volunteer Station could use volunteers to assist with:

Please check any that apply
Children
Seniors
Outdoor Activities
Clerical/office Work
Community Needs
Special Projects
Other information specific to the site or operation of the site that would have an impact on volunteers:
This agreement outlines our common and individual responsibilities regarding volunteers participating at volunteer stations named above and MAHUBE-OTWA/RSVP.
Station Representative

First NameLast Name
Volunteer Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
MAHUBE/RSVP Staff Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Project date for renewal of this agreement:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
DISCLAIMER: This material is based upon work supported by AmeriCorps Seniors, under grant 26SREMN005. Opinions or points of view expressed in this document are those of the authors and do not necessarily reflect the official position of the ACS program.
Should be Empty:

MAHUBE-OTWA/RSVP Volunteer Station Registration and Memorandum of Understanding