Service Day - Non-Profit Application

Thank you for joining with us as we strive to teach young people the value of serving others. It is important for us to review these questions in order to keep our students safe. We look forward to serving you soon!

Non-Profit Name*
Street Address*
City*
State*	Zip Code*
Name of Main Contact Person*
Direct Phone Number*
Cell Number
Email*
Do students volunteer at your organization on a regular basis? If yes, what types of projects have they been successfully involved in?
How many students would you like to be assigned to your organization?
Do you have off-site projects that can be completed in a school setting for younger students? Yes No
If yes, please elaborate.
Are there any potential health risks? Yes No
If yes, please elaborate.
Do you require your employees/regular volunteers to complete a background checks? Yes No
Are any of your employees and/or other volunteers unable to work with children due to a criminal background? Yes No
Does your organization have liability insurance? Yes No
Are your volunteers required to sign a waiver? Yes No
Would you be willing to have your organization listed on the JMF website? (Our wish is that families will visit our website to find family friendly service projects.) Yes No
Would you allow JMF to use pictures and video footage from Service Day at your organization on the their website? Yes No
If you have questions, please contact Allison Boyll at aboyll@josephmaley.org or 317.313.5322.

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