Project Application Form



I have read and agreed to the Terms and Conditions
I have read and agreed to the Orientation Expectations


Agency/Organization Name:
Contact Name:

Please ensure this person is available for Day of Caring

Phone Number:
Extension:
Email:
Twitter Username:
Office Address:
Office Postal Code:
Project Address:
Project Postal Code:

If the location of your project is different from the above office address

Description:

Please provide as many details as possible about your project.

Impact/Outcome:

Please describe the expected impact/outcome of your project.

Start Time: 9:30
End Time:
Number of Volunteers Required:
Can this project be completed in any weather?:
Inclement Weather:

Please describe your plans, should the weather be undesirable.

Do you have the required Liability Insurance ($1,000,000.00)?:
How did you hear about Day of Caring 2013?
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