Day of Caring Project Application

Agency / Organization Information

Primary Contact's Name

Agency / Organization

Phone

Address

Address 2

City

State

ZIP Code

Program location

Project Name

Requirements

Will your agency provide all necessary project materials on site? If unable to provide please explain below.

Yes

Does your agency have liability insurance to cover this project?

Yes

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

Yes

Will your agency be willing to provide lunches for volunteers?

Yes

Signature

Full Name of Signer

Title of Signer