Service Project Request Form

Name*
First Last
Phone*
Email*
Group Name*
Group Size*
Number of Minors in Group*
Number of Adults in Group*
Preferred Date of Service*
Date Format: MM slash DD slash YYYY
What type of service project are you hoping to do?*
- Host an event for youth
- Beautification project (landscaping, painting, etc.)
- Sanitation/repair project
Additional Information and Comments*
Approximate times of day for project?*
Preferred location:*
- Main Campus (Administrative & Crossroads): 5310 Carnegie Ave., Cleveland, Ohio 44103
- Laura’s Home Campus: 18120 Puritas Ave., Cleveland Ohio 44135
Name
This field is for validation purposes and should be left unchanged.