College Corps – Additional Service Opportunity Request Form

Shasta College College Corps Program
PO Box 496006 Redding, CA 96049-6006
CollegeCorps@shastacollege.edu

College Corps – Additional Service Opportunity Request Form

Section 1. Organization Information

Organization Name:

Department (if applicable):

Primary Contact Name:

Title/Role:

Email Address:

Phone Number:

Best Method of Communication:

Are you a current College Corps Host Site?

Section 2. Opportunity Overview

Event/Project Title:

Brief Description of the Opportunity (2–4 sentences):

Type of Service (check all that apply)

Food Security

Environmental Stewardship/Conservation

K–12 Education

Other

How does this opportunity support the community?

3. Date, Time & Location

Event Date(s):

Start Time / End Time:

Start:

End:

Is this a one-time event or recurring opportunity?

One Time:

Recurring

Location:

Is the location:

Full Address (If Applicable)

Any parking or transportation details Fellows should know?

4. Volunteer Needs

Total Number of Fellows Requested:

Are specific shifts available for this opportunity?

Yes

No

Specific roles/tasks Fellows will perform:

Will Fellows work independently or in teams?

Independently

Teams

5. Skills & Requirements

Are there any required skills?

Yes

No

Physical requirements (if any):

Standing for long periods

Lifting

Outdoor work

Other

Is training or orientation required?

Dress code or attire requirements:

6. Supervision & Check-In

Supervisor Contact Info (day-of):

Where should Fellows check in upon arrival and check out upon departure?

7. Risk & Safety

Will safety equipment be provided (if needed)?

Is a waiver required?

8. Incentives

Will food or refreshments be provided?

9. Timeline & Coordination

When do you need confirmation of Fellows?

10. Agreement & Acknowledgment

I understand this request does not guarantee Fellow placement.

I agree to provide appropriate supervision and a safe environment.

I will communicate any changes in a timely manner.