Form 1 serve.gov Registration Questions

Day of Service Registration and Reporting (Serve.gov)

Serve.gov Registration Questions

serve.gov Stories of Service

OMB: 3045-0122

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Serve.gov Registration Questions


First Name

Last Name

Email

City

State

Zip code

Phone

Category of service*

When (is/did) your project or event (taking/take) place?

Is your project related to a national day of service or event?**

Individual, Company, Nonprofit, Educational Institution, Government Agency, or Other***

National Service Affiliation****

Tell us your story of service, how (are/did) you (serving/serve)?  (Please include impact and results when available)

How many participants (will/did) you have for your project or event?

Do you have photos and/or videos of your event?  If posted online please provide link(s)


*Categories: Animals, Beautification and Clean-up, Building, Children & Youth, Civic & Community, Collections (food, clothing, etc.), Community Renewal, Disability Service, Disaster Training & Preparedness, Education, Energy & Environment, Essay or Oratorical Contest, Faith-based, Food Preparation, Health, Human Services, Disaster Relief & Recovery, Military Families, Mentoring, Oral History, Painting, Public Safety, Technology, Tutoring, Veterans


**Options: No, Yes-AmeriCorps Week, Yes-Learn and Serve Challenge, Yes-MLK Day of Service, Yes-Senior Corps Week, Yes-September 11 National Day of Service and Remembrance, Yes-Other


***If Company, Nonprofit, Education Institution, Government Agency, or Other are chosen user will be prompted for the organization’s name


****Options: None, Senior Corps (General), Senior Corps-RSVP, Senior Corps-Foster Grand parents, Senior Corps-Senior Companions, AmeriCorps (General), AmeriCorps-State, AmeriCorps-National, AmeriCorps-NCCC, AmeriCorps-VISTA, Learn and Serve America (General), Learn and Serve America-K-12, Learn and Serve America-Higher ED, Learn and Serve America-Community Based, Learn and Serve America-Indian Tribes


File Typeapplication/msword
File TitleServe
Authoraml
Last Modified Byaml
File Modified2009-12-30
File Created2009-12-30

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