Corporate Volunteering Application | Community Care Durham

Employer Name:*

Employer Name

Company Website:

Employer Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Provide a brief description on the services your company provides:

Primary Contact Information

Name:*

First Last

Phone:*

Email:*

Industry:*

Number of Years in Operation:*

Number of Employees:*

Clearance: Are your employees required to provide any of the following?

Do you provide your employees mandatory training for any of the following?

Has/does your company participate in other volunteer initiatives? If so, please describe:

Areas of Interest:*

Virtual Interests:*