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IPO Partner Exchange  
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Please complete the form after reviewing the Volunteer Activity Requirements. Submit this form for each volunteer opportunity available at your organization.

Organization Name
Organization Street Address
City
 State
 Zip
 Country
Phone
 Fax
 E-mail
 Website URL
Organization Mission Statement

Volunteer Opportunity
Program Name
 Volunteer Role (examples)
Number of Participants
 Age(s) of Participants

Date & Time (Please specify if opportunity is one time or ongoing)
Description (Program content/target audience)
Directions to Volunteer Site (Driving/public transportation details)

Event Contact Person
Name
 Title
 Primary Tel.
 Alternate Tel.
 E-mail