Make A Difference Day Service Request Form
This is the online service request form for Make a Difference Day scheduled for Saturday, October 24, 2020. Submission deadline: Friday, October 16, 2020.

*Please note to follow social distancing protocols, we are keeping student groups to 10 or less*
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Email *
Resident's Name or Volunteer Agency *
Service Site Address *
Main Contact Person *
Contact Phone Number *
Contact Email
By checking this box, I agree that there will be a representative/person at the site location on the day of the event. *
Will you be the Day of Contact Person on the day of the event? *
Required
Name of Day of Contact Person
If different than main contact person
Phone number of the Day of Contact Person
If different than main contact person
Type of Volunteer Work Needed *
Number of Volunteers Needed *
Requirements/Equipment *
Is there anything that the event organizer should know?
Submit
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