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Search
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About Us
Board of Directors and Staff
Committees & Responsibilities
Diversity Policy
FAQs
Financial Accountability
Our History
Strategic Plan
Volunteer Opportunities
Our Work
Education
Health
Financial Stability
Dolly Parton's Imagination Library
Percy The Live United Penguin Children's Programs
VITA
Image Gallery
Campaign
Join Our Campaign
Workplace Campaign Toolkit
Funding
Agency Application
Contact Us
Day of Action Project Application
DAY OF CARING PROJECT APPLICATION
Agency / Organization Information
Primary Contact's Name
Agency / Organization
Email
Phone
Address
Address 2
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State
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Armed Forces (Canada, Europe, Africa, or Middle East)
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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
Email
Is the project address different than above?
Yes
No
Project Address
Address
Address 2
City
State
Iowa
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
ZIP Code
Projects must have 3 hour time limit. Does your Project fit?
Yes
No
Number of hours to complete project
Approximate number of volunteers needed
Is your project weather dependent?
Yes
No
Description of Project
Materials Needed:
Materials Provided:
Requirements
Does your agency have liability insurance to cover this project?
Yes
No
Will an agency representative be available on the day of the event to coordinate & provide an overview?
Yes
No
Is a plan in place to take photographs before and after the project?
Yes
No
Safety requirements
Background Check
Safety Equipment
Other
Any additional comments regarding your project?
Submit