Community Service Interest Form
Please complete this form if your organization is interested in partnering with ICON to engage with Illini student-athletes for a community service project or event. The information you provide will help us learn more about your opportunity and determine the best fit for student-athletes involvement.  
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Organization/Business Name *
Contact First & Last Name *
Contact Title *
Contact Email *
Contact Phone Number *
Community Service Event Name  *
Community Service Event Date (DD/MM/YYYY) *
Community Service Event Duration (i.e. 6:00pm-7:00pm) *
Community Service Event Location - Facility Name *
Community Service Event Location - Facility Address (Street Address, City, State, Zip Code) *
Community Service Event Beneficiaries (i.e. K-3rd Graders, Homeless Population, etc.) *
Community Service Event Beneficiaries Group Size (i.e. 15 students, 50 homeless members, etc.) *
Number of Illini student-athletes needed? *
Please describe the community service event or opportunity you would like Illini student-athletes participate in? *
Are there any requirements that Illini student-athletes would need to meet prior to volunteering? (i.e. safety training, consent form, etc.) *
Is there any other information you would like to share regarding your community service event?
Do you have any questions/comments for the ICON staff?
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