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Group or Extended-Stay Volunteer Form
Group or Extended-Stay Volunteer Form
If you are a group who is interested in serving with Street Grace over a period of at least two consecutive days, please fill-out "and submit the below form." We will be in touch with you shortly with regard to your request. Thank you for you interest! For more information, please contact Amy Walters at amy@streetgrace.org.
Group Name
Type of Group
High school
College, undergraduate
College, graduate or higher
Religious Institution (church, synagogue, etc.)
Faith-based organization
Organization
Other
Dates of Visit
Which days of the week will you be here to serve?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Start Date
Start Time
:
HH
MM
AM
PM
End Date
End Time
:
HH
MM
AM
PM
Contact Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Email
Phone
Age of Participants
Group Size
Requests
Group Information
At least ten days prior to arrival, I agree to provide Street Grace with the following information for each participant in my group: name, address, city, state, zip, age, gender, email, emergency contact information, and cell phone number.
Volunteer Opportunities
I understand that volunteer opportunities will be based upon the availability of Street Grace Community Partners and may vary from week to week.
Delegation of Responsibilities
I acknowledge that Street Grace is not responsible for my group's travel plans, housing, in-city transportation or meals. All such arrangements are the sole responsibility of my group. Furthermore, I understand that Street Grace will organize and confirm my service projects with a schedule that will be emailed to the contact person of my group.
Contact
Speaker Request Form
PTA Speaker Request Form
> Group or Extended-Stay Volunteer Form
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