Group Test - Open Door Mission

Organization/Group Name*

Name of Group Contact*

First Middle Initial Last Name

Organization Address*

Street Address Address Line 2 City State ZIP Code

Organization Telephone*

Contact Person Phone Number*

Is this a Work, Mobile or Home phone?*

Organization Website

Church Affiliation

Availability

Is your group available:

Tell us which areas your group is interested in volunteering?

What other area is your group interested in?

Desired Project

Please provide specific details regarding the desired project