Thank you for your interest in serving our community!

Company/Organization

Team Leader

Team Department (Marathon Petroleum Corp. only)

Team Leader Email

Team Leader Phone

Please estimate the number of volunteers you'll have on your team. If it is a range, such as 3-7 volunteers, include the low end and high end in the spaces below. If it is a set number of volunteers, please enter the same number in both fields.

Low range estimate

High range estimate

Team Information (Please complete for each volunteer)

Re-order	Volunteer Name	Volunteer Email Address	Volunteer Phone Number	Weight	Operations
	Volunteer Name	Volunteer Email Address	Volunteer Phone Number	Item weight	Add new item after item 1 Remove item 1

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Please indicate your team's availability to volunteer Sept. 22-24. Check all dates and times that apply.

Questions	Yes	No
9/22 - Monday 8-12	Yes	No
9/22 - Monday 12-4	Yes	No
9/23 - Tuesday 8-12	Yes	No
9/23 - Tuesday 12-4	Yes	No
9/24 - Wednesday 8-12	Yes	No
9/24 Wednesday 12-4	Yes	No

Special team skills (Please check all that apply)

Cleaning/organizing

Painting

Outdoor work/landscaping

General repairs/construction savvy

Heavy labor (chopping wood, moving furniture, etc.)

Other…

Enter other…

Does your team or any of its members have any specific restrictions?

Heavy Lifting

Heights

Other, please explain (Ex: Allergic to poison ivy)

If yes, please explain

I have read and understand the Guidelines For Volunteers information sheet (see hyperlink below)

Guidelines For Volunteers information sheet

This team consents that photos taken during Days of Caring may be used by United Way of Hancock County for the purpose of promotion without compensation to us. We acknowledge that it is our responsibility to communicate to United Way of Hancock County staff prior to Days of Caring any photo restrictions we may have. Our team members are over the age of 18.

FOR TEAMS WITH MEMBERS UNDER 18 ONLY: This team consents that photos taken during Days of Caring may be used by United Way of Hancock County for the purpose of promotion without compensation to us. We acknowledge that it is our responsibility to communicate to United Way of Hancock County staff prior to Days of Caring any photo restrictions we may have. If consent is not granted, no photos will be taken of any members of the entire team.

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