Volunteer Opportunity Request

Please submit your request at least 15 to 20 business days before your meeting date. Thank you.

Submitted by*
Date
Company/ Civic Organization Affiliation*
Telephone*
E-mai
Physical Address
United Way Staff Contact or your Campaign Associate: (if applicable)
I am requesting a volunteer opportunity in:		Durham County Johnston County Orange County Wake County No preference
We would like a project related to the following issue area(s):		Education Income Health Safety No Preference
Volunteer date requested:
Date:
Time:		am pm
Number of volunteers:
Would you be interested in providing supplies for a volunteer project? i.e. paint, bruishes, cleaning supplies, etc. Often agencies need supplies to host a project, but have very limited resources. All supply coordination will be handled between volunteers and agency.