Service Learning Project Interest Form

Name

Email address

Phone number

School / organization name

School / organization address

Age / grade level

Number of participants

Service learning areas of interest

Fundraising

Supplies Drive

Awareness Campaign

Other

When would you like the project to start?

Preferred date and time of to have your introductory presentation

Are animal visitors permitted onsite?

Yes

No

Is there parking available at your location?

Are you interested in a Shelter Tour Education Program at the end of the project?

Yes

No

Maybe

How did you hear about our program?