Agency Profile Assignment and Form due 9/15
Agency Profile and Critique
In order for you to become somewhat familiar with the
opportunities for volunteering in your community, please
visit and complete the agency profile on two agencies
or programs.
**
Please submit the following for each.
1. Complete the Agency Profile by interviewing the appropriate
agency worker ( form is found below) You will need to copy
the form to a Word document and save it as a file on your
computer. Then open DropBox and browse for the file and click
on it. It will upload when you click submit.
2. Write a meaningful and well thought out critique of the
agency's or program's activities and the potential for providing
meaningful volunteering activities. Post this critique to Forum
Thanks. Dr. S
**You may have a unique and creative idea about volunteering
that may not include an established agency or program in your
community. If you do wish to do something different than
volunteering in established agencies or programs, please discuss
your ideas with Dr. Stokes.
AGENCY PROFILE
AND
VOLUNTEER NEEDS ASSESSMENT
FORM
This form is to be used by the student in a personal interview
conducted with the volunteer director. Please complete and
return to:
Dr. Jack L. Stokes
Department of Social Work MS8400, Southeast Missouri State

University
One University Plaza, Cape Girardeau, MO 63701.
This form may also be sent electronically by the student to the
DropBox set up for this semester's class
Name of Agency or Program:
____________________________________________
Address:
_____________________________________________________
_______
Phone # _____________________ Fax:
_________________________________
Contact Person: _________________________ Phone:
_______________________
Do you have a coordinator of volunteer activities? Yes ___
No ___
Will you orient the student volunteers to the agency, its
programs, and volunteer responsibilities? Yes ____
No____
Would you like to make a presentation to the Service Learning
Class? Yes ___ No __
NEED FOR VOLUNTEERS
Current Programs
--
Please describe program, the nature of need, times needed and
training/experience of the volunteer.
Program and Volunteer Need:
_____________________________________________________
_________
Program and Volunteer Need:
_____________________________________________________
__________
ONGOING PROGRAMS
--
Please describe program, the nature of need, times needed, and
training/experience of the volunteer.
Program and Volunteer Need:

_____________________________________________________
__________
Program and Volunteer Need:
_____________________________________________________
__________
ANTICIPATED PROGRAM EXPANSION OR
NEW
PROGRAMS
AND
VOLUNTEER NEEDS
--
Please describe program, the nature of need, times needed, and
training/experience of the volunteer.
Program and Volunteer Need:
_____________________________________________________
__________
Program and Volunteer Need:
_____________________________________________________
__________
GENERAL LOGISTICS
-- How far are you located from the University? Where is the
program located? What do volunteers need to bring, etc?
CONCERNS
--
What concerns do you have related to student volunteering in
your programs? What preparation do your volunteers need?
OTHER COMMENTS?
_____________________________________________________
__________