Form

Request to become a JLOC Community Partner

Name of Nonprofit Organization

Address

Contact Person

Title

Phone number

Email address

Name of Executive Director (if different from Contact Person)

Has this nonprofit organization applied to partner with the Junior League of Oklahoma City in the past?

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?

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?

If yes, please explain

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

Please check the days that the project will need volunteers.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Other

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

What is the duration of this project (i.e. school year, spring semester only)?

Please send a copy of the agency's 501(C)3 Letter of Determination to: Junior League of Oklahoma City, 1001 NW Grand Boulevard, Oklahoma City, OK 73118, attn: READ Chair

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