Date:___________________
 
 

Name of Group _________________________________________________________________

Type of Group (school, church, Scouts, etc.) ___________________________________________

Name of Contact Person __________________________________________________________

Telephone __________________________   E-mail ____________________________________

Address ______________________________________________________________________

Position in group ________________________________________________________________

Number of youth involved __________________Number of adult supervisors _________________

Average age of youth involved ________________________

Type of volunteer activities in which this group is interested:
 
 
 
 
 
 
 
 

Length of working time requested (full day, half day, week, etc.) _____________________________

Best times of day for this group to work: _______________________________________________

Best dates for this group:___________________________________________________________