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We Are DRiven to serve - Community service champions form
Please submit this form and a cover letter via email to mdblackburn@drregional.org and bruney@drregional.org no later than the 25th of each month to be considered for the award. Submitting this form is only 50% of the process. The cover letter must be sent as well.
Click here for a sample cover letter.
Questions can be directed to Michele D. Blackburn, mblackburn1@drregional.org.
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* Indicates required question
Email
*
Your email
School name
*
Beckwith Middle
Dighton Elementary
Dighton Middle
DR High School
Palmer River Elementary
Name of club, class, team, or organization
*
Your answer
Name (s) of staff members associated with club, class, team, or organization
*
Your answer
Staff member contact info (cell and email)
*
Your answer
Name of person(s) or group receiving the service
*
Your answer
Describe the service provided.
*
Your answer
Cover letter
Do not forget to submit the cover letter which details the organization, number of students, number of hours, etc.
Click here for a sample cover letter.
Questions can be directed to Michele D. Blackburn, mdblackburn@drregional.org.
Send me a copy of my responses.
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