Project Request Form
Splash Gordon is currently taking Project Request Applications to do minor home repair such as: repair/replace floor, weather-stripping, caulking, painting, minor plumbing repairs, build handicap ramps, minor roof repair, etc. for those in need of a helping hand. Projects will be done during Splash Gordon 2019, July 25th - 27th, as one of the ways we will be SPLASHING our community with God's love.

If you or someone you know, has a project to be considered please fill out this form completely and give as much detail as possible in describing the project. A SPLASH representative will contact you, or the person you submitted the project for, to verify if the project has been accepted. Due to time and logistical constraints, not all projects can be accepted.

Projects will be approved based on need, with priority given to correcting health and safety issues. Questions should be submitted to splashgordon.net@gmail.com. Deadline for project submission is April 31, 2019.
Date *
MM
/
DD
/
YYYY
Requester Information
Please enter the following information for the person making the request
Requested by *
Enter the name of the person requesting the project
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
E-mail *
Your answer
Church/Organization *
Enter the name of your church or organization you are affiliated with
Your answer
Church/Organization Phone *
Your answer
Recipient Information
Please enter the following information for the person or organization the project is being requested for:
Recipient's Name *
Enter the name of the person in need or a contact person for the organization
Your answer
Organization's Name
Enter the name of the organization that will benefit from this project
Your answer
Physical Address *
Enter the address of the project location
Your answer
City *
Your answer
Zip Code *
Your answer
Recipient's Phone *
Enter the primary phone number for the recipient/contact person
Your answer
Alternate Phone *
Enter an alternate phone number to reach the recipient/contact person (could be family member, neighbor, etc. if needed)
Your answer
Best time to contact? *
Enter the best time of day to call or visit the recipient/contact person
Your answer
Is this a rental property? *
Landlord's Name
If applicable
Your answer
Landlord's Phone
If applicable
Your answer
Project Information
Please describe the project in as much detail as possible. What exactly needs to be done?
Project Description *
Your answer
Benefit/effect of project: *
Your answer
Materials needed: *
Your answer
Can project be completed in 3 days? *
Would photography and/or video be allowed at this project site? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service