Address
City
Zip Code
E-mail
Contact Phone
Name of Project:
Project Start Time:
Project End Time:
Which county will your project take place: Durham Johnston Orange Wake
Education Income Health Safety
Please provide a description of your project:
Do you need the United Way of the Greater Triangle to recruit volunteers for your project?
Yes No
If yes, how many?
I heard about the MLK Day of Service via: Choose One Company Newsletter Flier Newspaper MLK Website United Way Website Word of Mouth Other
Questions about the form? Contact Dalia Santos
"Everybody can be great, because everybody can serve. "
--Dr. Martin Luther King, Jr.