1.) Organization type.  Check one:
    City State  Federal  Non-Profit
2.) Organization Name (required):
   
3.) Street Address: 
   
4.) Mailing Address (required):
   
5.) Telephone (required):
   
6.) FAX Number:
   
7.) E-mail Address:
   
8.) Web Page Address:
   
9.) Official Contact Person (required):
   
10.) Description (required):  50 words or less; include who is eligible; hours or meeting times, and any fees involved.  The library reserves the right to edit for publication.
   

11.) If you would like to participate in a database of volunteer opportunities, please check here:
12.) May we make the mailing address and e-mail address of your organization available to third parties? If so, please check here:
(Note:  The library will not make this information available to commercial advertisers.  It will only be available to providers of education and training for non-profits or to state, federal, or city agencies offering surplus items to non-profits.) 

Name of person submitting this form:

Name (required):
E-mail
Telephone (required):
FAX