KB DATA CHANGE REQUEST

Kare Bears Change Request Form
Form being submitted by *

First NameLast Name
Changing information for*

First NameLast Name
Street Address
Used just to help identify similar names
Make entries for the data below ONLY if there are changes
PC Street Address
Enter if changed
E-mail
Enter if changed
Primary Phone Number
Such as 6235361200
... & Type
Second Phone Number
Such as 6235361200
... & Type
Unit/Lot
Enter BOTH Unit and Lot if either changes
Months away from PC & not available ?
Enter if changed or to be added
Office Volunteer

Add as a new indicationRemove existing indication
Transportation Driver

Add as a new indicationRemove existing indication
KB Coordinator

Add as a new indicationRemove existing indication
Coordinator Lot Assignments
Enter if changed
Roving Coordinator

Add as a new indicationRemove existing indication
Roving for what Unit(s)
Enter if changed
Baker

Add as a new indicationRemove existing indication
Computer Projects

Add as a new indicationRemove existing indication
Event Planning

Add as a new indicationRemove existing indication
Greeter, or Bake Sale Worker

Add as a new indicationRemove existing indication
Health & Wellness

Add as a new indicationRemove existing indication
Phone Tree

Add as a new indicationRemove existing indication
Skills
Enter if changed
Other Information Fields
Use for: Special Assignments, Board Office, Call Sheet Notes, etc.
Driver Birth Date

MonthDayYear
Date
Driver License Expiration Date

MonthDayYear
Date
Driver Insurance Expiration Date

MonthDayYear
Date
Driver Insurance $ limits
Such as 300,000/100,000/100,1000
Should be Empty:

Kare Bears Change Request Form