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Volunteers on Wheels - Application for VOW Assistance
Name of applicant organization *
Type of organization (Church, School, Camp, Other. If other, describe nature of organization) *
Applicant's address *
Project address *
Contact person - Name *
Contact person - Position *
Contact person - Phone *
Contact person - E-mail *
Facilities: Are level parking spaces available for RVs? *
Facilities: How many parking spaces?
Facilities: Location *
Facilities: Hookups available *
Required
Facilities: Distance to available dump station? *
Facilities: Showers? *
Are any living quarters available for those without RVs? *
If so, how many
Please describe the project for which your request VOW assistance. *
If this is a building project, do you have all necessary permits? *
If "No", please explain
What is the proposed schedule for the work *
What worker skills are needed? *
Please indicate how you learned about Volunteers on Wheels *
Other pertinent information
HOLD HARMLESS AGREEMENT: We agree to hold harmless the Volunteers on Wheels organization, its members, and Northwest Yearly Meeting of Friends Church from any and all responsibilities and / or liabilities connected with our organization while on the work project.We certify that the applicant is a non-profit religious organization. Please type your full name. This is your electronical signature. *
Emergency Information: Ambulance number *
Emergency Information: Hospital number *
Emergency Information: Police number *
Emergency Information: Fire Department number *
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