2010 Day of Action (formerly known as Community Care Day)
Project Proposal Form

Please read Agency Eligibility, Agency Responsibilities and Event Timeline prior to completing this form. A separate form must be completed for each project proposed. A confirmation email will be sent to you once you submit your request.
 
Requesting Agency Information:
Agency Name:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Website:
Contact Person:
Contact Person's Title:
Contact Person's Email:
   
Project Details:
Project Title:
Project Location:
Project Address:
Day of Event Phone:


Project Leader:
(Project leader will be present with volunteers & will attend project leader training.)
Project Leader's Title:
Project Leader's Phone:
Project Leader's Email:
Project Description:
Rain / Back-up Project:
Materials to be Used:
(Please be specific. Include calculations for square footage, etc.)
Will your agency supply all materials?Yes     No
If no, please describe:
Will your agency be providing lunch?Yes     No
If yes, please describe:
Min. Number of Volunteers Needed:
Max. Number of Volunteers Needed:
Min. Age of Volunteers:
Min. Age with Parent Supervision:
How should volunteers dress?
Project will last:4 Hours     8 Hours     Other
If other, please describe:
Project is available:
(please check all times
your project may be available)

 8:00 am - 12:00 pm
12:00 pm - 4:00 pm
8:00 am - 4:00 pm
Other
If other, please describe:
Comments and/or Concerns:
 
Please select your Project Leader training date:

Only Project Leaders who did not attend a training in 2009 will be required to attend.  If you did attend a training in 2009,
please indicate in the space below for which event you are attending.
 

Friday, April 2, 2010
12:00pm - 1:00pm
Online Webinar
(login information will be delivered via email)
Friday, April 9, 2010
12:00pm - 1:00pm
United Way Building, Multipurpose Room
184 Salem Avenue
Dayton, OH  45406
Friday, April 16, 2010
12:00pm - 1:00pm
Online Webinar
(login information will be delivered via email)
I have already attended a training in 2009.
 
Project Leader Contract
United Way's Volunteer Connection and Participating Agency Agreement

United Way's Volunteer Connection will:
  • Provide training for all new agency project leaders.
  • Serve as resource for agencies throughout the event process.
  • Recruit volunteers for all projects.  The minimum number of volunteers needed for each project will be recruited first.
  • Provide agencies with number of volunteers assigned to each project by May 21, 2010.  Agencies who do not have the minimum number of volunteers at this time may decide whether or not to cancel their projects.
  • Provide overall event volunteer totals and total hours of service in a timely manner to agencies following United Way’s Day of Action.
  • Provide Sign-in sheets to agencies that will also serve as waivers of liability.
Agencies participating in United Way's Day of Action will:
  • Complete a detailed project proposal for each project to be completed on Friday, June 4.  Fundraisers may not be held by volunteers during this event; however volunteers may assist with fundraising preparations.
  • Define a back-up project for all weather-sensitive projects.
  • Designate a staff member or volunteer to serve as project leader for each project to be completed on United Way’s Day of Action.  Project leader should be the person directly supervising volunteers during the event.
  • Make arrangements for new project leaders to attend training.
  • Obtain materials needed to complete project.  (Limited assistance is available.)
  • Provide adequate staff or volunteers to assist with the coordination, instruction and supervision of volunteers assigned to projects.
  • Provide basic refreshments for volunteers completing a United Way’s Day of Action project.  At minimum, water should be made available to volunteers.
  • Return completed sign-in liability and media waiver sheets and incident reports, to United Way’s Volunteer Connection by 5:00 p.m. on June 11, 2010.
  • Be responsible for any additional liability coverage desired or required by agency other than the sign in sheet/waiver of liability form.
 
Please sign and date below.  Your digitial signature will serve in place of a physical signature.

Agency Project LeaderToday's Date

 
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