Interfaith Community Service Initiative

* fields are required

Organization Name: *

Faith Leader Name: *

Administrative Assistant:

Address:

City:

State:

Zip Code:

Phone Number: *

Email: *

Website Address:

Social Media Address (Facebook, Twitter, etc.):

Organization Educational Coordinator(s):

Hours of Operation:

Best time to drop off materials (Tri-C recruitment materials, event fliers, etc.):

Please share your academic (K-12 thru higher education) and/or workforce needs of your members:

Please indicate if you would like an on-site presentation:

YesNo

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