Request to be a Community Partner

*Name of Organization

*Address

*Contact Person

*Title

*Phone number

*Email address

Name of Executive Director (if different from Contact Person)

*Has the organization applied to partner with the Junior League of Oklahoma City in the past?
Yes
No

*Proposed Project Name:

*Please provide a brief summary of the project. What are the goals of the project? What is the population to be served with this project?

*Do you currently measure your program outcomes? What is the community impact/outcomes of your program?

*Please provide a brief summary of the project. What are the goals of the project?

*Where would this project take place?

*How would this project enhance the current focus of the Junior League, "A healthy community begins with you - encouraging healthy living, a healthy lifestyle and a healthy YOU."?

*Ideally, how many volunteers are needed?

*How will the volunteer's time be utilized?

*Will training be required and provided for volunteers?

*Are there any physical requirements?
Yes No

*Are there any special requirements for the volunteers (i.e. background check, TB vaccine, etc.)?

*If yes, please explain:

*Please list all days that volunteers will be needed

*Duration:
Year-round
School year
Summer
Other

If other, please specify:

*What time would volunteers be needed (i.e. 5pm-8pm)?

Please send a copy of the agency's 501(c)3 Letter of Determination to:

Junior League of Oklahoma City

Attention: READ Chair

1001 NW Grand Boulevard

Oklahoma City, OK 73118

*Required Email

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