Community Partner Interest Form Contact Information Question Title * 1. Contact Information Contact Name Company/Org./Group Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 2. How are you interested in partnering with us? Question Title * 3. Are all of the volunteers in your group 18 years old or older? Yes No Question Title * 4. Size of Group 5 or fewer 6-10 11-15 16-20 20 + Question Title * 5. Volunteering availability: (Please rank your availability preference as 1st, 2nd, 3rd, and 4th choices) Monday Tuesday Wednesday Thursday Friday Morning 9am-12pm 1st Choice 2nd Choice 3rd Choice 4th Choice Morning 9am-12pm Monday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Morning 9am-12pm Tuesday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Morning 9am-12pm Wednesday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Morning 9am-12pm Thursday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Morning 9am-12pm Friday menu Afternoon 12-3pm 1st Choice 2nd Choice 3rd Choice 4th Choice Afternoon 12-3pm Monday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Afternoon 12-3pm Tuesday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Afternoon 12-3pm Wednesday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Afternoon 12-3pm Thursday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Afternoon 12-3pm Friday menu Evening 3-6pm 1st Choice 2nd Choice 3rd Choice 4th Choice Evening 3-6pm Monday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Evening 3-6pm Tuesday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Evening 3-6pm Wednesday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Evening 3-6pm Thursday menu 1st Choice 2nd Choice 3rd Choice 4th Choice Evening 3-6pm Friday menu If you have a specific date(s) in mind please list them below: Question Title * 6. Does your group have a budget for your project? Yes No If yes, please specify the amount Done