Company Group Project Intake Form

CORPORATE/GROUP VOLUNTEER

PROJECT INTAKE FORM

Please fill out the form below to register your volunteer group.

A Metro United Way representative will contact you soon for further coordination.

Group Name *
Group Address *
Group Contact Name (Project Manager) *
Contact Phone Number *
Contact Email Address *
Does your group run a Metro United Way Employee Giving campaign?
Yes, my group does
No, my group does not
PROJECT REQUEST INFORMATION - Focus Area your group would like to support:
Basic Needs - providing emergency food, shelter, safety and healthcare
Education - helping students excel in and out of the classroom
Family Stability - providing parents and caregivers the knowledge, skills and abilities to maintain financial stability
Health - providing healthcare, nutrition and a healthy environment
Arts & Culture - providing the opportunity to celebrate creativity, diversity and collaboration
Other
Please explain:
Estimated Number of Participating Volunteers (if exact number is unknown, please enter an estimated range)
Preferred Date for Volunteer Engagement (Date of request should be no less than 4 weeks from today) * Calendar
Alternative Date for Volunteer Engagement Calendar
What distance, in miles from your location, are you willing to travel?
Time of Day
Morning (9AM - 11AM)
Afternoon (Noon - 4PM)
Evening (5PM - 7PM)
Specific time range (please enter time range below)
Specific time range:
How often would you like to volunteer?
Once
Weekly
Monthly
Annually
Do you have a budget to support volunteer projects? (Frequently some agencies will have a need for donation of materials in addition to the volunteers) YesNo
Enter budget amount here
Would your group and/or volunteers be willing to donate necessary materials, if needed, to help complete the project and offest costs of the volunteer project? (e.g. paint, rollers, gardening tools, plants, etc.)
Yes No N/A
Would your group like to work with people? (seniors, youth, disabled)
Yes No N/A
Would your group like a hands-on assignment? (painting, landscaping, etc.)
Yes No N/A
Please provide any comments, questions, requirements or special skills your team may have:
Items marked with an asterisk(*) are required
Verification Code
Enter code
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