Lunchtime Rally Coordinator Sign up
If you are interested in being the Lunchtime Rally Coordinator for your worksite, please fill out the interest form below. Lunchtime Rally Coordinators will be responsible for communicating with CAPS Staff, receiving posters via mail, distributing information and material to colleagues, gathering and organizing folks the day of the rally, among other duties.
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number where we would be able to reach you on the day of the event.
Format: (000) 000-0000.
Email
example@example.com. Please include your preferred email.
Worksite Name
*
Include Department and Office Name
Worksite Address
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: