Day of Service Questionnaire
Contact Information:
Kelly Nichols, Principal
Eureka Middle School
2005 S. Main St., Eureka, IL 61530
Organization Name:
Your answer
Organization Address:
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Contact Name:
Your answer
Contact Phone:
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Contact Email:
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Organization Type
(select one)
When could we help?
(select one) Each day would be 60-90 minutes. Rain date: 9/24, 9/25 (if needed)
I would be interesting in financially supporting the Day of Service, and would like our logo to be added to the back of the t-shirts students will be wearing.
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This form was created inside of CUSD #140. Report Abuse - Terms of Service - Additional Terms