Volunteer Request Form

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Staff Requesting * Required
First Last
Expected start date of volunteer. (If ASAP, use Friday's date) * Required
What do you need the volunteer to do? Please be as specific as possible. * Required
How does this project help us complete our mission? * Required
Duration of Project (one-day, weekly, ongoing) * Required
Project Number * Required
Grant * Required
Did your manager approve this request? * Required
- Yes
- No
Do you have a specific volunteer in mind to fill the request? * Required
- Yes
- No
If yes, please provide the volunteer's name. * Required
Send me an email receipt of my responses
- Yes
Please provide your email address.
Thank you for taking the time to submit your request. Please click the "submit" button below.

The disAbility Law Center of Virginia (dLCV) is the designated Protection and Advocacy organization of Virginia.

1512 Willow Lawn Drive
Suite 100
Richmond, VA 23230

Call Us: 1-800-552-3962

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