Martin Luther King Jr. Day of Service Registration Form-2015

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We're glad you are interested in participating in the Martin Luther King Jr. Day of Service! Please complete this form to let us know what project you would prefer and a little more information about yourself. We will see you on January 19, 2015 at 1:00 at Faith Lutheran Church. If you need a ride from the UMM Campus, meet in front of the Office of Equity, Diversity, and Intercultural Programs at the transit stop at 12:45. Parking and transportation to and from service sites will be provided at Faith Lutheran Church!

What is your Name?

What is your e-mail?

What is your phone number?

Check the item that best describes you:

UMM student

Morris Area High School student

Community member (not a student)

Clear selection

Will you be bringing a child or children 12 or under with you?

Yes

Clear selection

Please list the names and ages of the children who will be serving alongside you.

Which projects, of those below, interest you most? (Check all that apply).

Activities with elders (family-friendly)

Sorting donations at a non-profit thrift store

Participate in teach in about police and communities of color (social justice discussions)

Shoveling to raise money for people in need

Tabling at local businesses to raise money for people in need (family-friendly)

Preparing food at community meal

Organizing, painting, and cleaning at a local organization

Would you be interested in serving as a facilitator/leader?

We will be providing training to facilitators/leaders on Sunday evening (1/18) and Monday morning (1/19) prior to the day of service. We will provide a meal for facilitators during the training.

Yes

Clear selection

Would you be able to assist with prep cooking for community meal on Sunday, January 18? If so, please sign up for a shift below.

2:00-4:00 p.m.

4:00-6:00 p.m. (supper provided)

6:00-8:00 p.m.

Submit

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