 Community Partnership Application |
Agency Information |
*
|
|
*
|
*
|
*
|
*
|
|
*
|
*
|
*
|
*
|
*
|
Contact Information |
*
|
*
|
*
|
*
|
|
Project Objectives |
*
|
*
|
The project will: (please check all that apply) |
|
|
|
|
*
|
*
|
Project Information |
*
|
*
|
*
|
* Short term (1-2 years)
Long term (3+ years)
|
Time of day when volunteers are needed |
|
|
If both, please give projected distribution of volunteer shifts: |
|
|
*
|
*
|
*
|
*
|
*
|
Please attach the following agency documents |
* |
* |
|