Charity Enrollment Form
(Please provide all required details to register a charity with DSL) Community Service Credit Hours Awarded: 1 Hour/per Charity Enrolled
Charity Name
*
Contact Person
*
First Name
Last Name
Contact Number
*
Format: (000) 000-0000.
Website
*
Describe Services Provided
Submitted by:
Charity Registration will be Published to DSL Website
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Add Geotagged Photo of Charity Facility (if visiting in person)
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