Community Service Registration "*" indicates required fields X/TwitterThis field is for validation purposes and should be left unchanged.Service Activity Coordinator Name* First Last Email* Phone*Service Activity Coordinator's Affiliation to Jasper*Check all that apply. Resident Organization Representative Service Activity Type* Hands-on project Donation drive Run/Walk team Event help Service Activity Description*Please be as detailed as possible. Benefitting Organization's NameBenefitting Organization's Website Activity Date*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Activity Start Time* Hours : Minutes AM PM AM/PM Activity End Time* Hours : Minutes AM PM AM/PM Activity Frequency* One time Recurring Recurring Details*Please provide recurring dates/times/etc. so that we can post it to the resident calendar.Activity Location*Activity Location AddressOnly required if not in Jasper. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What ages can participate?*Check all that apply. Adults Teens Children How can Jasper residents sign up to participate?*Activity WebpageIf a webpage for this activity exists, please provide us with the link. Disclaimer*When you register a volunteer service activity through Jasper, it is also your responsibility to recruit volunteers, fully understand and communicate to volunteers the scope and responsibilities of the project, and serve as the primary point of contact for volunteers. Jasper Community Life cannot guarantee the amount of volunteers or level of participation in any service activity.As a project host, it is also up to you to fully understand the risks and responsibilities involved with the project, be willing to participate in any required trainings or orientations, comply with the policies and procedures of the host organization, and stay within the bounds of the volunteer role. As a project host, you are also a representative of the Jasper community, and appropriate behavior is expected at all times. I agree Signature*
