MLK Day 2012 Project Description Form1

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MLK Day 2012 Project Description Form1 Powered By Docstoc
					                      MLK Day of Service - January 16, 2012
                       Building a peaceful community through service.
The Athens MLK Jr. Day of Service Steering Committee is seeking project sites for the 2012 MLK Jr. Day of

Each year, hundreds of volunteers come out from 10-1 on MLK Day to work on beautification projects such as
planting trees and flowers, cleaning up cemeteries, and painting over graffiti. This year, volunteers will meet for a
kick-off event with speakers, music, and free breakfast before volunteering!

                               Please recommend a project site
Agency Name: __________________________________________________________________

Contact Name: __________________________________________________________________

Work Phone: ______________Cell phone (for use by MLK Committee on day of event):_______________

Contact E-mail: __________________________________________________________________

Project name/type: ________________________________________________________________

Project description: (Example: Volunteers will beautify Clarke Central High School by planting bulbs around the
sides of the building, and mulching the areas that are bare clay and around the trees.)

Project Location/Address: ___________________________________________________________

Minimum age for volunteers (all volunteers under age 16 require adults supervision): __________________

If you are not available to supervise the project yourself, please indicate the name, email and cell phone number
for a staff member or volunteer who can oversee the project on January 16th:

Name: _________________Email: ______________________________Cell Phone: _____________

How many volunteers are needed? (Minimum 10 volunteers per site): _______

Are any special skills are required? Describe: _______________________________________________

Are you interested in hosting a project for Global Youth Service Day (April 20-22)? GYSD committee will be able
to provide tools, volunteers and minimal funding for projects that weekend. __________________________

Tools and volunteers will be supplied to each project site, but as of now, no funding or project supplies
are available. We will contact agencies first-come, first-serve based on submitted project forms if
this changes. The deadline for all project descriptions is Tuesday, November 1st.

Please return to Dawn Aiello at or fax to 706-353-1375

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