Please complete the information below to start your Volunteer Experience request! First Name Last Name Email Address Type of Volunteer Experience One-Time Volunteer Experience Long-Term Volunteer Experience ReadingPals VITA Tax Assistance Business/Organization Name Number of Volunteers Participating Preferred Day(s) of the Week Sunday Monday Tuesday Wednesday Thursday Friday Saturday Hours Available Please indicate your area of interest Health Education Financial Stability Other Please indicate which area Preferred Type of Activity Indoors Activity Outdoors Activity No Preference Will Your Company be providing lunch for your volunteers (optional)? Yes No Yes, we will be providing lunch for our volunteers We will take the lead on coordinating lunch We would like United Way to coordinate lunch Any physical limitations or activities not permitted (i.e. climbing ladders, operating weed whackers, etc.) Funds Provided for Project Yes No Submit