| Organization information |
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*Organization/agency name:
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*Address:
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| *City: |
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| *State: |
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| *ZIP code: |
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*Organization/agency website (if you do not have a website, please enter "NONE"):
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| Contact information: |
| *Contact name of the person to contact prior to the event: |
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| *Contact phone number: |
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| *Contact e-mail address (if you do not have an email, please enter "NONE"): |
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| *Site supervisor name (emergency contact for the day of the event): |
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| *Site supervisor phone number: |
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| *Please provide the exact address/location of the site where students will volunteer. (This will be used as the location where the bus driver should drop-off the students.) |
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*Please describe the activities in which the volunteers will participate.
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*Please tell us about the history of the organization/agency and the purpose or mission so we can share that information with the students who will be volunteering at your site. If you have previously submitted this information please enter, "HISTORY AND MISSION ON FILE WITH THE STURZL CENTER"
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| *What impact will the work done by "Into the Streets" volunteers have on this project and your organization/agency as a whole? (For example, how will this work help your organization, further your
mission, increase the number of clients served/services offered,
improve life in our community, etc.?") |
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| *What manner of dress is appropriate for the volunteers coming to your site? (i.e. pants/shorts, tennis shoes, work gloves, etc.? If work gloves are needed are you able to supply them?) |
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*How many GROUPS of students would you like us to send to your site?
NOTE: Most groups will typically be comprised of 10-12 students plus their First Year Experience Mentor. If you will not be able to accomodate at least 10 students please contact Susan Angoli at 403-3374 prior to submitting this form to determine if we will be able to partner with you.
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*Since many of the sites require outdoor work, we have asked students to be prepared to volunteer, rain or shine. If inclement weather would impact your project, do you have an alternate plan and location for an indoor activity? If so please describe.
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| *Please provide information about any foreseeable risks that may exist outside of normal day-to-day life. |
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