United Way Day of Caring Registration form

You may either copy and paste these questions and return them by email with the appropriate answers to: jbristow@astate.edu.
Or, you may print this form and fill out the questions and return it by interdepartmental mail or via fax to:
972-3359 by the end of the day on Friday, Sept. 1.

Name: ___________________________________________________________

Department:  ______________________________________________________

Phone:  ____________________  e-mail:  _______________________________

Shirt size:  _________________

Shifts:  ___ 9-11 a.m.   ___ 1-4 p.m. or  ___  all day     (please check shift preferred)

What type of projects do you prefer?  ___________________________________

Any type: ________  Outdoors: _______________  Indoors:  ________________

Working with clients: ____________ Physical labor: ________________________

Please list any specific skills: ___________________________________________


For any questions or additional details, please contact: Jill Bristow, coordinator of special events, University Advancement at 972-3362 or via email at jbristow@astate.edu.