Agency Update Form Day of Action - Agency Project Form Agency Press Release Form United Way Brandmarks and Logos   IMPORTANT Please submit a project registration form for each project you may have. *** Deadline to register projects is January 13, 2012.*** Day of Action - Partner Agency Form         *Agency Name *Agency Contact Person *Contact Phone Number *Contact E-mail Address *Agency Address *Agency City *Agency State *Agency Zip Code *Start and End Time of Project (Between 8 AM and 5 PM) *What days can you host volunteers (check all that apply) Thursday March 29 2012 Friday March 30 2012 Saturday March 31 2012 *Number of Volunteers Needed per Shift to Complete Project *Project Description (Please be as detailed as possible.) *Specific Instructions/Notes *Photography Allowed Yes No *Refreshments Provided (Per Each Day That You Will Host Volunteers) Morning Snack Lunch Afternoon Snack *Will your project require any special forms? If so, please email your forms to kristen.hampton@uwrutherford.org. Yes No Additional Information Do you need assistance in funding your project? Yes No 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)