| Name of the organization(s) which needs help: |
| Tax ID: |
| Address: |
| Contact: Tel: |
| Contact E-mail: |
| Web site: |
| Contract person: |
| Name of person who filled out this form: |
| Your mission statement: |
| Your past activities: |
Schedule of the work:
Year Month Day to
Year Month Day Ending
Total Days
|
| Total number of people needed: people
|
| Tasks for volunteers: |
| Necessary skills: |
| Insurance or security protection for the volunteers
from NY de Volunteer: |
|
How did you learn about NY de Volunteer?:
On the Internet(Web site) and whose name:
In magazine or newspaper and whose name:
Word of mouth:
Other:
|