*Organization name

Mailing address

City

State -- Select One -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories and Nunavut Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories Other / None

ZIP

*Project site address

*City

*State -- Select One -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories and Nunavut Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories Other / None

*ZIP

*Contact Person

*Daytime phone

Fax

*Contact person's e-mail

*Project description(s) (please be as specific as possible)

*Total number of volunteer needed (preferably in multiples of 10)

Specific skills needed to complete this project

Attire Suggested

*We will provide a representative to meet students on campus.

*We will provide transportation to our serve site.

*We will be able to provide adequate ice water for the entire day.

*Our site will have a first-aid kit on hand for Serve Day.

*We have all the tools and equipment needed to complete our project(s). (Please specify under comments any extra tools you will need volunteers to provide.)

*We will provide an emergency contact phone number (see below)

We would like to be part of the Volunteer or Church Connection Fair on the evening of Serve Day from 4-7 p.m.

Comments/Extra Information

If you have any questions, please call Rachel Lee at (503) 554-2326, or send an e-mail to serveday@georgefox.edu.