2017 DOS Site Information Collector

Required fields are marked with an (*)
 
Site Name: *
Sponsor Club:
Co-Sponsor:
Event Date: *
Event Time: *
Service Type(s) (select all that apply):
















Event Location: (street address and city as well as anything else to easily identify the location) *
Web Site URL:
Site Capacity: *
(Please enter a max number of participants or "unlimited")

Event Description: *
Special logistical notes:
(tranportation, parking, special skills or restrictions)
Site Coordinator(s): *
Please enter name, Yale degree, email and phone for each coordinator, as well as a mailing address we can use for sending the "day of" materials. This address will NOT be published as part of the site information. Please indicate if you would prefer that your phone number not be included in the contact information for the site listing.
I have been in touch with the Yale Day of Service Regional Director, local Yale Day of Service Club Coordinator and/or Yale Club president for my area to let them know about this Day of Service site. : *
Submitter Name: *
Submitter E-mail: *
Anti-spam question: Flower, resting, lawyer, campsite: the word starting with "c" is?
Answer: