Organization/Agency Partnership Form

General Information:
Organization/Agency:
Website Address:
 
Mailing Address:  
  Address:
City:
State:
Zip:
 
Physical Office Location:
Address:
City:
State:
Zip:
Distance from Drury:


 
Drury categorizes each organization/agency by the following areas of focus.
Please select which category fits your organization/agency best:
 
Volunteering Details
What is your organization/agency mission?
 
Describe upcoming and/or new tasks/projects that student volunteers are needed to work on:
 
Best days and times to volunteer:
Volunteer training required? Yes
No
Background check required?
 
Contact Information:
Primary Contact Person:
  Title:
  Primary Contact Number:
  Primary Contact Email:
(if used regularly)
 
Secondary Contact Person:
Title:
Primary Contact Number:
Primary Contact Email:
(if used regularly)
 
Best way for student to contact organization?
 
Name of Person Submitting Request:
Email of Person Submitting Request:
 
Consent and Acknowledgement: Electronic Signature
By checking this box I certify and understand that the above organization would like to request a partnership with Drury University and utilize its student volunteer base. The above organization also agrees for the information provided to be represented on the Drury webpage. If you have any questions, please contact Leadership & Volunteer Development at (417) 873-7419.