DAY OF CARING PROJECT APPLICATION

Agency / Organization Information

Primary Contact's Name

Agency / Organization

Email

Phone

Address

Project Information

Is the project address different than above?

Yes

No

Project Address

Address

Number of hours to complete project

Approximate number of volunteers needed

Description of Project

Materials Needed:

Requirements

Does your agency have liability insurance to cover this project?

Yes

No

Will an agency representative be available on the day of the event to coordinate & provide an overview?

Yes

No

Is a plan in place to take photographs before and after the project?

Yes

No

Signature

Reset

Full Name of Signer

Title of Signer

Submit

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