Pinellas County Volunteer Form
VIP (Volunteer In Pinellas) Opportunity Form

Instructions for completing this form- Please complete all applicable fields as appropriate.


Position/job project title
Volunteer learning opportunities/
Other benefits to the volunteer
Community impact of this volunteer position
Job/project description and
associated volunteer responsibilities
Skills/Experience/Training needed
(Example: CPR, computer skills, foreign language, craft/maintenance skills, etc.)
 Will you accept volunteers Age 8-11 Age 12-18 Adults
Family volunteers (Parents Supervising Children)
Number of volunteers requested
 Anticipated length of volunteer commitment
(Please choose all that apply)
On-going (3+ Months) Short term (2 Weeks to 3 months) One time (1 day to 2 Weeks)
School year only
Any time (flexible, any of the above)
Desired hours per Day   Week   Month   Flexible   Other
Days requested






Time of day requested


Will this volunteer work mainly    
Will this volunteer be in contact with the public?    
Will this volunteer be working independently or with a county employee?    
Will this volunteer be working    
Specify any special working conditions
Will the volunteer be working near, in, or on water?
If Yes, what body of water?
Will the volunteer be driving a vehicle?
If Yes, County vehicle, personal vehicle, or both?
What equipment will the volunteer be using?
Your name 
Department/Division 
Volunteer site coordinator  
Your office phone number  
Your County e-Mail address 
Location of work site  

Additional Comments- Limit to 500 characters

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