Agency Event Submission Form
Contact Information:
First Name:
Last Name:
Agency Name:
Phone: (XXX-XXX-XXXX)
E-mail Address:
Event Category: (Minimum of 1 category)
Annual Events
Animals
Family Services
Healthcare
Mentoring
Senior Citizens
Youth
Environment
Other
Event Name:
Street Address:
City:
State:
MI
WI
Zip:
Volunteers Needed:
Length of Service (Hours):
Start Date:
End Date:
Description of Event:
Submit