Volunteer Project Form

Agency Name*

Street Address*

Street Address Address Line 2 City State ZIP Code

Primary Contact Name*

First Last

Primary Contact Phone

Primary Contact Email*

Project Description*

Number of Volunteers Needed*

Preferred Project Date*

Volunteer Skills/Experience Required*

Physical Activity Intensity*

Choose all that apply

High
Moderate
Low

Disclaimer: I understand that submitting a project does not guarantee the project be filled. I understand that I will be required to attend a mandatory site supervisor meeting.*

I agree
I disagree

Email

This field is for validation purposes and should be left unchanged.