Service Austin Day 2011

PROJECT PROPOSAL FORM

Would you like to propose an additional project for Service Austin Days? If approved, your project will be among the projects that benefit from our media campaign, our interactive website (www.ServiceAustin.org) to assist in identifying and organizing your volunteers, and other benefits such as breakfasts and Service Austin T-shirts.

Just fill out this form and e-mail it to the Service Austin Day Committee (at serviceaustin@serviceaustin.org) you can also fax or mail it to us (at Fax: 472-3855 Mail: 5805 Highland Hills Drive Austin, Tx 78731)for consideration and approval. Qualifying requirements are simple: Does your project benefit the City of Austin? If it does, welcome to Service Austin Days!


Needed Information

Description of Project:

How the project will serve the City of Austin:

Contact information for on-site Project Leader (Name, Cellphone, E-mail address) :

Short name for project (will be used in our Website's Table of Projects)

Location (address if available):

GPS (if available) :

Days - November 18, 19 or 20:

Start Time:

Anticipated Completion Time:

Number of Volunteers Needed:

Tools and/or materials needed:

Recommended clothing for Volunteers:

Recommended age range for Volunteers:

Would your Volunteers like to receive breakfast and a Service Austin T-shirt?
If yes, please estimate numbers and size:
(Contribution toward the cost of breakfast and T-shirts gratefully accepted.)

Do you have an interest in having a representative on the Service Austin Committee?

Project Developer's contact information:
Name:
Telephone Number:
E-mail Address:



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Our Motto: Giving Thanks by Giving Back