Name of School or District: ___________________________
Address: ______________________________________________
School District Coordinator or Contact Person(s): _______________________________________________________
Name of Volunteer: ____________________________________
Address: ______________________________________________
PROJECT DESCRIPTION
(Briefly describe the project objective and what the volunteer will be doing):
PROJECT TIMELINE (When will it start? When is expected to be complete? How often will the volunteer be visiting the school?):
MARKERS OF SUCCESS (What will participants, such as students or teachers, have accomplished when the project is complete)?
___________________________________________________________________
Signature of School Representative Signature of Volunteer
Date: __________________ Date: __________________
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