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Agency Fact Sheet
Student Name
Student Email
Class Year
Agency Name
Agency Address
Agency Website
Agency Phone
What is the agency
What are the agency’s goals and programs offered to clients/ people served?
What is the impact the agency has made on the community?
What are the duties you will perform as a volunteer?
Check this box if you have received permission and approval from your supervisor to have the information above posted on the NCSSM summer service website. This information will be a reference for future NCSSM students to find local service opportunities.
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Agency Contract
Agency Fact Sheet
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