Centennial House Project

Volunteer & Team
Application

Company/Volunteer Name:                                                                                 Date:                                      

Address:                                                                      City:                              _ State:             Zip:                 

Company Contact (Volunteer team leader):                                                                                                        

Phone:                                     _ Fax:                                        Email:                                                             

Just so we know what to plan for, please turn in your application to United Way Community Volunteer Center ASAP.

Once you have registered you and/or team, each individual volunteer can sign up for an opportunity task, job, day, and times they want to work. It is easy…

Individuals can sign up on the United Way Community Volunteer Center website.  To sign up, go to www.unitedwayponcacity.org, click on the Volunteer icon and under the Centennial House Project Event, volunteer opportunities are listed. 

List your volunteers and date preferences below: (feel free to make more copies and add volunteers!)

I/We would like to volunteer for the following date(s) and times:

Oct. 28 �     Oct. 29 �     Nov.  4 �     Nov. 5 �     Nov. 6 �     Nov. 11 �     Nov. 12 �     Nov. 18 �    Nov. 19 �

Morning � Afternoon �

For more information call 765.2476 or come to United Way at 205 N. 2^nd Street.

Fax to United Way 765.8369