Community Project Request Form

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Day of Action | Friday, 9.26.2025
Community Project Request Form

Agency Information
Project Contact
Are you completing a project or a drive?

Day of Action Project Information

Project Information
Project Address
Volunteer Needs
General Needs
Details
Will your agency provide liability insurance to cover volunteers?
Does your agency have restrictions regarding media, photos, and/or video being taken inside your agency?

Day of Action Drive Information

Agency Drive Request
Item Retrieval
My agency can pick up the collected items:

Drive items will be available for immediate pick-up, on location at the September 22nd Day of Action, after the Volunteer Breakfast (approx. 10 a.m.)

Pick Up Available Between 9 AM - 5 PM
Monday-Friday | September 25 - October 6, 2023.

Location:
United Way of Henry County & Martinsville
49 E. Main St. Martinsville, VA 24112

Contact Rebecca Conter at Rebecca@UnitedWayofHCM.org or 276-638-3946 x110 to schedule an alternative pick-up time.
My agency will need to have the items delivered to our location
Delivery Available Between 10 AM - 5 PM
Monday-Friday | September 22 - October 6, 2023.
Delivery address is different than address listed above
Delivery Info

Complete the form to request your organization's project to be held on Friday, September 20, 2024.

Questions? Contact Rebecca@UnitedWayofHCM.org

Having Trouble? Alternatively you can email Rebecca one of our .PDF Request Forms
Request Forms can be found HERE.