1.0 Group Leader Interest Form

Group Leader Interest Form

Organization Name

Group Type

Please select... K-12 Community Corporate Foundation Religious Government College/Univ Non Profit Other

Grade Level

Please select... Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Phone

Organization Address 

City

State

Please select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Postal Code

Group Leader Contact Information

First Name 

Last Name

Email

Cell Phone

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

Volunteering Request Details

Community Harvest Project appreciates your interest and support of our work.

Please note that we are currently scheduling for volunteer visits at the Grafton farm between June 30 and October 2 - earlier and later dates have been filled.

Total # of Volunteers including Chaperones/Adults & Youth

Number of Chaperones/Adults

Additional Information - Multiple visit requests can be noted below. Also, include any information to assist with scheduling/planning for your visit.       

Date Request - 1st Choice

Alternate Date - 2nd Choice

Alternate Date - 3rd Choice

Location Preference 

Please select... Grafton - June 30 through October 2