Clubs and Organizations
Organization's Official Name:
Alternate Name (If Any):
Organization's Address:
Mailing Address (If Different):
Phone #:
Fax #:
800#:
E-Mail Address:
Website Address:
Brief Description of Purpose:
Area Served:
Contact Person & Phone #:
Language(s) [other than English] Spoken:
Handicapped Accessible Meeting?	Yes    No
Do you accept volunteers?	Yes    No
Do you accept teen volunteers?	Yes    No	Ages accepted?
Typical hours:
Minimum hours required:
Description of volunteer duties:
Special skills required or appreciated:
Submitted by (Name Of Person Submitting Form):