Illinois Bicentennial Volunteer Report

The information gathered for this report will help the Illinois Bicentennial Commission track volunteer efforts in Illinois. Please provide information for any volunteer efforts in 2018.

Question Title

* 1. Organization Name

Question Title

* 2. Contact Name

Question Title

* 3. Contact Title

Question Title

* 4. Contact Email

Question Title

* 5. Reporting Period Start Date

Question Title

* 6. Reporting Period End Date

Question Title

* 7. Number of volunteers serving in the reporting period.

Question Title

* 8. Total hours served by volunteers in the reporting period.

Question Title

* 9. How many people were served during this reporting period.

Question Title

* 10. Additional Comments

By submitting photos, you give the Illinois Bicentennial Commission and its partners rights to use the photos for the purpose of publicity or communications

Question Title

* 11. Action Shot 1

Please include an action shot of volunteers.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

Question Title

* 12. Action Shot 2

Please include an action shot of volunteers.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

Question Title

* 13. Group shot

Fee free to share a group shot of volunteers.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

If you would like to share more pictures please send to dph.serveillinois@illinois.gov