Tell Us About Your Service Project
Please use this form if you completed a project without registering on www.northcoastimpact.com. Thank you!
Name
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First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Life Group
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Organization Name (Where you served)
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Please list the date of project or Life Group quarter completed.
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Brief Project Description
*
(e.g., made & served dinner, donated toiletry kits, sorted items in warehouse)
Did you do this project with your Life Group?
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Optional Comments or Additional Details
Submit
Should be Empty: