| Page 2293 | United Way of Tri-County

Corporate Day of Caring Request

Contact Information

Company Name *

Contact Name *

Contact Title

Contact Phone *

Contact Email *

Volunteer Information

Please check the focus areas that your company/employees would like to impact during your volunteer event.:

If other, please explain:

Number of volunteers

Number of Male Volunteers

Number of Female Volunteers

Is there a specific community in which you would like to hold your volunteer opportunity?

Please provide three proposed dates for your event.:

Please indicate your preferred length of time.:

Half day (3 hours)

Full day (6 hours)

Other

If other, please state how many hours:

What is your preference for the time of day for your event?

Morning

Afternoon

Will your company and/or employee volunteers be providing food & beverages for the volunteer group during the event?

Yes, our company is paying for our volunteers' food & beverages.

Yes, our employees will bring their own food & beverages.

No, we will not have food & beverages provided.

Would your company and/or employee volunteers be willing to donate necessary materials or supplies to help complete the project and offset costs for agencies? (i.e. paint, rollers, brushes, gardening tools, flowers, plants, etc.) :

Yes

No

Does your company have special needs or restrictions?:

Yes

No

If yes, please explain:

Are your volunteers willing to do light physical labor, such as painting, landscaping, etc.?

Yes

No

Would your company prefer indoor or outdoor activities?

Indoor

Outdoor

No Peference

Please provide additional details you believe would be helpful in assisting United Way in coordinating your company’s volunteer event. We will do our best to accommodate your needs/requests with those community agencies you will be serving.