EXIT Serving Those That Served Event Registration Thank you for hosting a service project for Illinois' Serve Those Who Served Veterans Week of Service program! Please complete the information below, and it will be posted to the Serving Those Who Served website. There volunteers will be able to contact you directly to volunteer. We will not assign volunteers to your project.Your service project should directly benefit veterans, active service members, or their families. OK Question Title * 1. Organization Name OK Question Title * 2. Event/Service Project Name OK Question Title * 3. Event Start Date and Time (If you have more than one event, please complete multiple surveys) Date / Time Date Time AM/PM - AM PM OK Question Title * 4. Event End Date and Time Date / Time Date Time AM/PM - AM PM OK Question Title * 5. Address of event Organization * Address * Address 2 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 * OK Question Title * 6. Primary Contact (Who can we contact with questions?) Name * Company * Address * Address 2 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 * OK Question Title * 7. How can volunteers sign up for your project? OK Question Title * 8. How many volunteers are needed? OK Question Title * 9. How many hours will the volunteers serve? OK Question Title * 10. How many people do you anticipate serving? OK Question Title * 11. Are there any special requirements for the volunteers? OK Question Title * 12. Upload your organization/event logo (if applicable). GIF, JPEG, JPG, PNG file types only. Choose File Choose File No file chosen Remove File Upload your organization/event logo (if applicable). OK Please note we will contact you after the event to determine how many people volunteered, how many hours were served, how much money, or how many items, were raised (if applicable), and how many people were served. If you would like to update your information prior to your event, you may complete this form again. OK DONE