MLK Jr. Day of Service

Name *

First Name

Last Name

Phone

(###)

###

####

Which Location? *

Lindblom Academy - Repainting Walls/Hallways & Teachers Lounge Renovation

Pershing Elementary - Repainting Wall/Hallways, Parent Cafe Renovation, & Book Room Organization Project

Something Good in Englewood - Moving Items to New Campus (Labor Intensive)

Volunteer Shift *

All Day Shift (9am-5pm)

Morning Shift (9am-1pm)

Afternoon Shift (12-5pm)

Do you have a ChicGivesBack Volunteer T-Shirt? *

All volunteers are required to wear a ChiGivesBack Volunteer Shirt during our events. If you have one from a previous volunteer opportunity, please wear it again! If not, you can purchase a shirt for $10 and it will be available for pick-up at the event. ChiGivesBack.com/volunteershirts

Yes! I have a ChiGivesBack T-Shirt and I will Re-Wear it!

No! I don't have a ChiGivesBack T-Shirt and I will purcahse one at www.ChiGivesBack.com or at MLK Day of Service

Nominator's Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country