Day of Action Project Application | Orrville Area United Way

Agency / Organization Information

Primary Contact's Name

Agency / Organization

Phone

Address

Address 2

City

State

ZIP Code

Project Information

Onsite Project Manager

First

Last

The onsite project manager MUST be present and available on the day of the event to coordinate & provide an overview.

Cell Number

Is the project address different than above?

Yes

Project Address

Address

Address 2

City

State

ZIP Code

Projects must have 3 hour time limit. Does your Project fit?

Yes

Number of hours to complete project

Approximate number of volunteers needed

Is your project weather dependent?

Yes

Description of Project

Materials Needed:

Materials Provided:

Requirements

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

Is a plan in place to take photographs before and after the project?

Yes

Safety requirements

Background Check

Safety Equipment

Other

Any additional comments regarding your project?