Group Leader Interest Form

Organization Name

Group Type

Grade Level

Phone

Website (www.website.com, no http://)

The web address will properly link your request to our internal database without producing duplicates. If you do not have a web address, use your group name as one word. Example: www.knightsofcolumbus.com

Social Media Link

Please provide your social media link so that we can post photos from your visit.

Organization Address

City

State

Postal Code

Group Leader Contact Information

First Name

Last Name

Cell Phone

If you do not have a cell phone number, enter in another phone number unique to you.

Volunteering Request Details

Total # of Volunteers Anticipated

Anticipated Number of Chaperones

Please specify a date range for volunteering availability. ** Please note that due to overwhelming demand our North Grafton and Harvard Locations are full for the balance of 2017. At this time all Group Volunteer Requests will be wait listed and contacted if we receive cancellations. Any questions please contact Wayne McAuliffe, Program Manager at wayne@community-harvest.org **

Date Request - 1st Choice

Date Request - 2nd Choice

Date Request - 3rd Choice

Location Preference

Notes/Special Requests

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