Triangle Martin Luther King Jr., Day of Service

I. Project Registration

Name/Organization

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

What area will your project support?

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?

Total Number of T-shirts needed:

I heard about the MLK Day of Service via:

Questions about the form? Contact Dalia Santos

"Everybody can be great, because everybody can serve. "

--Dr. Martin Luther King, Jr.