Please provide the following information and submit to United Way of Tarrant County:
Company or Group
Team Leader
Street Address
Address (cont.)
City
State
ZIP
Phone
Fax
E-mail (required)
PR/Media Contact
Phone
Fax
E-mail
Estimated number of volunteers who will participate
Our volunteers may have skills in (check as many as apply)	Carpentry Painting Landscaping Electrical Plumbing Other
Preferred time	Full day Half day Week day Weekend
Nature of project	Physical labor Lighter activity (contact with people)
Place	Indoor Outdoor
We prefer projects that address United Way's impact areas	Kids Families Seniors    Crisis Relief Health No preference, wherever needed
We prefer projects that address United Way's specific impact issues	Early Learning and Development Child Abuse and Neglect Senior Isolation Adult Literacy Childhood Obesity
Preferred geographic area (prioritize 1-4)	Arlington (Southeast Tarrant County) Northeast Tarrant County Fort Worth (West Tarrant County) No preference
Our company would be willing to	Pay for materials Seek donations for materials Share the cost of materials with the recipient agency
Please submit form