Volunteer Request Form
Group or Organization Information
Date Request Needed:
Name of Group or Organization:
Person Making the Request:
Organization’s Primary Purpose/Mission:
Does your group or organization hold 501(c)(3) nonprofit status?
Is your group or organization a customer of Bank Independent?
Details of Request
Date(s) Volunteers Needed:
Maximum number of Volunteers Allowed:
Description of Volunteer Duties:
Our volunteers can work an eight-hour day; for what hours will you need us?
Location of event:
Shoals area (Lauderdale or Colbert Counties)
Athens area (Limestone County and Rogersville, Ala.)
Decatur area (Morgan County)
Moulton area (Lawrence County)
Russellville/Red Bay area (Franklin County)
Where should the volunteers gather in the morning to report for duty?
Please describe the activities our volunteers will be performing:
Are special clothing (work boots, hardhats, etc.) or additional supplies (water, tools, etc.) required?
Should special precautions be taken for weather conditions at the location (sunscreen, hats, etc.)?
If so, please explain.
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