United Way of the Ozarks

320 North Jefferson
Springfield, MO 65806
Phone: 417.863.7700
Fax: 417.863.9102

Day of Caring
Member Agency Project Application

* Denotes Required Field

Agency:

Project Coordinator:

Title:

E-mail:

Phone:

Fax:

Address:

City:

State:

Zip Code:

Project Description:

Project Address and Directions:

Number of volunteers need for this project:

Work Schedule:

Full Day (8am - 4pm) Half Day (8am - Noon) Half Day (Noon - 4pm)

Each agency is responsible for getting the supplies needed to complete the project. List the supplies and how you plan to acquire them?

Does your agency have liability insurance that will cover this event?

Yes No

Please indicate which focus area this project will impact:

List three things your agency will do to ensure that the needs of the volunteers are being met while working with you during Day of Caring: