Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Volunteer Exit Survey

  1. Franklin County Department of Public Safety • 1488 Franklin Street • Rocky Mount, VA 24151 • 540-483-3091
  2. What is your gender? (optional)
  3. Where did you serve as a volunteer? (check all that apply)*
  4. In what capacity were you a volunteer in Franklin County?*
  5. Why did you initially decide to begin volunteering?*
  6. Which of the following were important in influencing your decision to leave?*
  7. Overall, I rate the leadership of the station as:*
  8. Overall, how satisfied were you with your volunteer experience with this organization?*
  9. How likely are you to recommend this organization to others as a place to volunteer?*
  10. What incentives would have potentially helped you remain active as a volunteer?*
  11. Do you plan to volunteer with a fire or EMS agency again in the future?
  12. I would like a representative from Human Resources to contact me to further discuss my volunteer experience.
  13. Contact Info
    If you would like to be contacted, please provide your name and the preferred contact information.
  14. Leave This Blank:

  15. This field is not part of the form submission.