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The deadline for sign-up has passed.  Please call Pam Beals at 330.643.5512 or email Pam if you have a project.

 

Agency Project Response Form
2008 Day of Action
(formerly Day of Caring)

Friday, June 20, 2008, 9 a.m. to 3 p.m.

If you are looking for volunteers to help your organization, fill out this form and submit.

When identifying your project(s), consider projects at your agency that have never been completed or projects that you just haven't had the opportunity to begin.  Also consider projects that support the four United Way of Summit County Community Impact areas: Improving Health & Wellness, Attaining Independence, Building Successful Children and Families, and Reinforcing Our Basic Needs. (Please refer to the Day of Action Group Project Ideas Only document previously provided to you).  Please note: All Day of Action participating agencies must be a certified IRS 501(c)3 non-profit and located in Summit County, Ohio.

Questions? 
Contact Pam Beals at United Way of Summit County, 330.643.5512, or e-mail pbeals@uwsummit.org

NON-PROFIT AGENCY RESPONSE FORM

Is your Agency a certified IRS 501(c)3 non-profit?  YES    NO
Agency Name
Agency Address, City, Zip
Day of Action Site Address 
(if different from above)
(if submitting different projects for separate locations, please submit each separately)
   
Agency or Site Contact
(coordinator)
Title
Phone
Fax
E-mail
Agency Mission
Note: Day of Action volunteer project(s) must be large enough to occupy the volunteers' time all day from 9:00 am to 3:00 pm.

Project
(Please be as
specific as possible)
Will volunteers interact
with service recipients?		 YES    NO
If Yes, please describe:
Volunteers will work with:
People with mental/physical disabilities
Senior Citizens
Children/Youth
Adults
Other
Please specify:
Volunteers will perform:
Physical labor
Indoor work
Outdoor work
Other
Please specify:
Number of volunteers required to complete project(s) (minimum of 2 volunteers):
Special skills needed (as applicable):

Agencies are responsible for supplying any and all materials, tools and refreshments. 
NOTE:  The Salvation Army of Summit County will be preparing and donating lunches for all volunteers, but will NOT be delivering those lunches.  Agencies requesting volunteer lunches from The Salvation Army, must pick them up on Friday, June 20th, anytime between the hours of 10:00 am to 11:30 am.  The Salvation Army is located at 190 S. Maple St., Akron, OH  44302.

My agency will be providing lunches to our Day of Action volunteers, therefore I will NOT require lunches from The Salvation Army, Summit County.  

For volunteer safety, my agency affirms that a First Aid Kit(s) will be available at any and all Day of Action volunteer site(s) to use as needed.
Yes   No

On behalf of my agency, I understand that completing and returning this form does not guarantee that the project(s) request will be filled.
Yes   No

NOTE: Agency contact person will receive written confirmation by mid-May confirming that this Day of Action project request(s) has been filled.

Should some of the Day of Action volunteers include youth, will they be appropriate to take part in the project?  
Yes   No  
If Yes, what is the minimum age you will accept with adult supervision?

Number of parking spaces available at your Day of Action project location?
Please list nearby parking lots and fees for volunteers to park, if needed:

If you have any questions, please contact Pam Beals at 330-643-5512 or email pbeals@uwsummit.org

Deadline for project submission is Wednesday, April 23, 2008
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