PR Volunteer Application

Please fill out the form below and submit via e-mail, or if you prefer contact us via phone at 218-863-3657

Name:

Address:

City:


	State:


	Zip:

Phone Number:

Alternate Phone Number:


	E-mail Address:

Do you prefer to be contacted via E-mail or phone?

E-mail:


	Phone:

Do you know of anyone else who would like to become an Everyday Hero?

Name:

Address:

City:


	State:


	Zip:

Phone Number:

Alternate Phone Number:

E-mail Address:

Do you prefer to be contacted via E-mail or phone?

E-mail:


	Phone:

Do you belong to any organizations who are looking to make an impact in their community?

Yes:


	No:

If yes, please list:

Do you belong to any clubs/programs who would like to learn more about the
Giving + Learning Program?

Yes:


	No:

If yes, please explain: