Project Submittal Form

* Indicates required field.
Note: Your organization must be a non-profit (501(c)3) or a public agency.

Contact Person for CSD Project

Liability Insurance: All agency or non-profit project sponsors must have adequate liability insurance for volunteers. Please confirm you have adequate liability insurance by entering your initials in the box below.

Project Information
0/750 characters
Indoor/Outdoor/Both: Please indicate. *
Second shift option: If yours is an all-day project, you can offer a second shift for volunteers from 12 to 3 p.m. Would you like to offer a second shift? *

Project Location
Zip Code of Project Site *

Project Requirements
Age requirements: Please select most appropriate alternative. *
0/750 characters
0/750 characters

Project Leader
Please provide the contact information for the person who will serve as the project leader on Community Service Day. This person may be designated at a later date.