Day of Caring Questionnaire

On September 7, 2013, United Way of Racine County will hold a Day of Caring in conjunction with our Annual Campaign Kickoff. We are currently looking for feedback to help us understand the capacity of volunteers needed. If your organization is interested in participating in the Day of Caring, please fill out the information below.

Agency Name: *

Contact Person: *

Phone Number: *

Email Address: *

How many volunteers would you need?: *

1-5

6-10

11-15

16+

How long would you be able to supply work? : *

2 hours

4 hours

Other (please specify)

If your organization only has a need for a small number of volunteers for a limited time, would you be interested in partnering : *

Yes

Comments

Would you be able to provide volunteers with drinks and snacks while working?: *

Yes

Comments

Does your agency carry liability insurance for volunteers? : *

What type of work would you need help with? : *

Interior painting

Interior cleaning

Organizing supplies

Moving furniture

Exterior clean up

Office work

Opportunities for volunteers to work with clients

Please provide a description of help needed: *

Who will be your organizations Day of Caring coordinator? : *

The coordinator is responsible for managing the volunteers and event for your agency. If you will be the coordinator, simply enter your name. If someone else at your agency will be the coordinator, please include their name, phone and email.

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Day of Caring Questionnaire

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