United Way of
Rockland County

Organization Project Request

We need the help of Day of Caring volunteers to complete our project!

* Organization Name:    

* Day of Caring Project Name:    

* Project Location - Street Address:    

* City:         * State:         * Zip:    

* Project Contact Person:    

* Project Contact Person's E-mail Address:    

* Phone (e.g. 845-123-4567):         Fax (e.g. 845-123-4567):    

* # of volunteers Needed         * $ Value of Service    

* Project Description:

* Required


Submission Deadline

Project submission deadline is Friday, April 12,2019.

Organization Project Request Form

If you prefer to download the form and fax it to UWRC at 845-358-8250 then please click on the link below:

PDF Form