Corporate Enrollment Form
Name of Organization:
Address:
CEO / General Manager Name:
LIVE Team Leader:
Phone Number:
Fax Number:
E-Mail:
Best time to call:
Estimated number of volunteers
on your LIVE team:
Date Available:
 
Please list the type of projects your LIVE team would prefer:
 
Which geographic area(s) do you would you prefer?
 
Are there any resources or supplies that your organization or team
may be able to provide?
 
Does your organization have a working relationship with a paticular
agency that your LIVE team would like to assist?
 
List Agency name, contact and phone number: