Volunteering Hours or Bike/Run/Walk Fee Match

Type of Submission*

Select

Spend/Raise Entry Fees*

Enter Entry fee for Bike/Run/Walk event. Everyone else can enter "0"

First and Last Name (Person completing this form)*

Email Address*

Business Unit*

Select

List any employees who volunteered with you.*

Please list by first and last name.

Total Hours of Volunteer Time or Event Time*

If 5 employees volunteered 8 hours each, then the total would be 40 hours. Don't forget to include your hours. For Bike/Run/Walk: enter amount of time spent during event.

Date of Activity or Event*

Type of Volunteer Activity*

Name of Non-Profit { Must be a 501(c)(3) }*

Organizations described in section 501(c)(3) are commonly referred to as charitable organizations and are tax-exempt.

Full address of the Non-Profit*

Name of your contact at the Non-Profit*

Phone number and/or email of the Non-Profit contact*

Please provide any additional feedback regarding your experience volunteering with this Non-Profit

Please upload some pictures of the volunteer work

Drag and drop files here or

Send me a copy of my responses

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