Volunteer Team Registration
All Required fields are marked in
Bold
.
Company/Organization
CEO
Address 1
Address 2
City
State
Select a U.S. State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Team Leader
Phone
Fax
Email
* Enter "none" if you do not have an email address
Alternate Phone (Cell, etc)
* Your alternate phone number may be used on "Project Selection Day" if you cannot be reached at your office.
I will attend Team Coordinator Meeting on Aug. 12 at 10 AM (5th St. Alb COB) or Aug. 6 at 3 PM (UVA Newcomb Hall) Email swood@unitedwaytja.org to RSVP a date
No
Yes
Approximately how many volunteers from your company will participate on the Day of Caring? (Just your best guess.)
Total # Employees at your company or members of your organization.
Please use proper capitalization–Do Not use all CAPS!
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