Group Name: (school, business, church. etc.)
Address 2:(city, state, zip)
Contact Phone Number:
Cell Phone Number:
Areas of Interest:
(homeless shelter, daycare, administrative, public relations, etc.
Please note that daycare requires clearances and social security number)
(Scout Badge, Internship, Community Service, Just want to help)
Adult Supervisor: (if group is under the age of 16)
Availability:(Start-Finish: Days & Hours)
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