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What is your full name?
   
 
 
 
* Which date would you like to participate?
 
 
 
Which department do you currently work in?
   
 
 
 
What is your building location?
 
 
 
Would you like a vegetarian or no-vegetarian meal?
 
 
 
Will you be riding the bus to the venue?
 
 
Please select two choices of tasks that would interest you. The Coupons for Change team will do our best in placing people in desired projects for the day; however, there may be people rotated and moved around to other projects.

THURSDAY, FEB 7
1st choice 2nd choice
Painting
Labor intensive
Organizing
Redesign front office space
 
FRIDAY, FEB 8
1st choice 2nd choice
Painting
Organizing & cleaning
Labor intensive
Prepare, cook and serve lunch
Outdoor beautification
 
 
 
Please let us know if you have any special skills such as: carpentry, experience in painting, sewing, landscaping, etc.
   
 
 
 
Please let us know if you have any special needs, health restrictions or other comments