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Agency Confirmation Form

This form must be submitted each time a new volunteer uses CSO vans to drive to your agency.

Agency Information


Driver Information


Frequency of Use


Travel Time

Please let us know the travel time to and from your agency.*

Day

More Information

Please use this space to provide us with any more information.


Volunteer Certification

By checking below, you certify that the student will be volunteering at your agency during the times stated on this form.*

I certify