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United Way of Rutherford and Cannon Counties
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IMPORTANT

Please submit a project registration form for each project you may have.

*** Deadline to register projects is January 18, 2013.***

 
2013 Days of Action - Partner Agency Form
 
     
*Agency Name
*Agency Contact Person
*Contact Phone Number
*Contact E-mail Address
*Project Site Address
*Project Site City
*Project Site State
*Project Site Zip Code
*Start and End Time of Project
(Between 8 AM and 5 PM)
*What days can you host volunteers (check all that apply)


*Project Description
(Please be as detailed as possible.)
*Specific Instructions/Notes
*Photography Allowed

*Refreshments Provided
(Per Each Day That You Will Host Volunteers)




*Number of Volunteers Needed per Shift to Complete Project
*Will your project require any special forms? If so, please email your forms to kristen.hampton@uwrutherford.org.

Additional Information
Do you need assistance in funding your project?

If you need funding assistance, please give a brief description of the project that the money will be used to fund.
If you need funding assistance, how much funding will the project require?
Agency Wish List (to be sent to the company assigned to your project before Days of Action for collection)
(Items marked * are required)

 
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