Looking for Volunteers?
Questions marked with a * are required Exit Survey
 
 
* Name of Organization
   
 
 
 
* Tax ID Number
   
 
 
Contact Information
* Phone : 
 
 
 
* First Name
   
 
 
 
* Last Name
   
 
 
 
* Email Address
   
 
 
 
* Proposed Schedule
   
 
 
 
Type of Project (i.e. Landscaping, Painting, etc.)
   
 
 
 
* Address where work is to be performed
   
 
 
 
* This project is Indoor or Outdoor
 
Indoor
 
Outdoor
 
 
 
* Does this project require a site visit/evaluation before scheduling?
 
Yes
 
No
 
 
 
* Number of Volunteers Requested
   
 
 
 
Equipment provided on-site
   
 
 
 
Name of Sensata Employee Associated with this Project?
   
 
 
 
* Number of Hours Requested
   
 
 
 
* Details of Work to be Performed
   
 
 
 
Note: Agencies are required to provide all materials, tools and necessary permits, including CORI Forms. It is appreciated when agencies provide water and meals for the volunteers.