Clone of Project Backpack Agency Registration

Thank you for your interest in the Make A Difference Day Volunteer Fair! The event will take place on:

Tuesday, October 28
10:30 am to 2 pm
Building B, Jobe Lounge
Elgin Community College
1700 Spartan Drive, Elgin IL 60123

Please fill out this form by October 15 to reserve a spot and commit to your attendance.

NOTE: Space is limited to 40 tables. Fair participation will be on a first-come, first-served basis.

If you have any questions, please contact Gema Atta, ECC Student Life Coordinator, at geatta@elgin.edu.
Agency Information
Name of Agency*
Briefly describe the types of services your agency provides*
Website
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Information
Contact Name*

First NameLast Name
Contact Number*
Contact E-mail*
example@example.com
Volunteer Needs
Types of volunteers needed*

Consistent: Volunteers commit to a certain timeframeInfrequent: Volunteers can pick up shifts when convenient to themEvent/Project-based: Volunteers needed for specific, one-off needsSkills-based: Volunteers need to have a specific skillsetSpontaneous: Volunteers needed for emergencies or quick situations
Special volunteer opportunities you offer:

Group: Multiple volunteers can sign up togetherRemote: Volunteering can be done virtually or alone at homePaid: Volunteers can earn a stipend for a certain roleCommittee: Volunteers can get more involved in planning initativesOther
Describe some tasks or duties volunteers would fulfill*
Event Needs
How many chairs do you need?*
Do you need electricity?*

YesNo
Please upload a logo and/or a photo that can be used for promotions

Cancelof
Should be Empty:

Agency Information

Contact Information

Volunteer Needs

Event Needs