Form

2022-2023 Done In A Day Request Form

Complete this form to request volunteers for your Organization. Ideal community partner projects will be able to be completed "in a day" with the help of our JLA Volunteers and should align with our mission and focus area. The current focus area is "the education and mentorship of safety and life skills for women and children." Please allow a minimum of 3 weeks for processing. The Done in a Day (DIAD) committee will contact you if there are any questions.

Please enter today's date

Name of Organization

Is your organization a 501c3?

Who is the contact person at your Organization?

Contact's Phone Number

Contact's Email Address

Please state your Organization's Mission Statement

Description: (What will our volunteers be doing?)

Please provide the full address including zip code of where the volunteers need to report.

Special Instructions: (what our volunteers need to wear, etc.)

Are children allowed to attend?

If yes, are there any restrictions on the age of the children to attend? Example: Must be school aged (5-17 years old)

Are members encouraged to bring outside guests (non members)?

Please provide the date(s) and time you are requesting volunteers for. (Example 1/10/22 1 pm to 3 pm)

How many hours per shift are you requesting? (No half hours please!)

How many volunteers are you requesting?

JLA is currently following recommended CDC COVID-19 guidance. If your organization follows COVID-19 guidance that differs from the CDC, please provide specifics below

Please list any additional comments regarding this request.

By checking this box and using our volunteers to help your organization, we reserve the right to request impact statements to share with our members and our community, as well as permission to use photos from the "Done in a Day" in our marketing and publicity, including but not limited to website, social media, newsletters, advertising, and presentations.

I agree

Name of Member (one) Who Referred Me to the DIAD Program:

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