Project Submittal Form
* Indicates required field.
Note: Your organization must be a non-profit (501(c)3) or a public agency.
Name of organization
Contact Person for CSD Project
: 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.
Brief description of what volunteers will do at your project:
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 Street Address (Note: Please be specific. Project must be in Walnut Creek)
Zip Code of Project Site
Specific meeting location at project site (e.g., meet at back ballfield)
Estimated Number of Volunteers Needed:
Please select most appropriate alternative.
All ages. Children under 12 must be accompanied by adult.
Minimum age 8. Children under 12 must be accompanied by adult.
Minimum age 10. Children under 12 must be accompanied by adult.
Minimum age 12.
Minimum age 14.
Minimum age 16.
Physical Requirements (e.g., "must be able to lift 50 pounds" or "must be able to walk half-mile to site")
Other Requirements (e.g., "please wear closed-toe shoes")
Volunteers should bring: (e.g., sunscreen, gloves, paint brushes)
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.