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Follow-Up Information Questionnaire

The Volunteer Center of Southwest Michigan would appreciate you taking the time to
complete  this questionnaire.

Agency Name:
Volunteer Manager:
Prospective Volunteer Referred:
Date of referral:
Was the volunteer placed?
What are the volunteer's duties?
Why was the volunteer prospect not placed?
Comments about the above volunteer:
Comments regarding the Volunteer Center's services:

                                  Thank you for your time.goodheart.gif (20878 bytes)