We the People CHW Corps Community Action Service Request

Please complete this form to request We the People Public Health AmeriCorps members to support your community event or activity. Requests submitted with at least 3-weeks' notice will be prioritized.

Name of Organization

Organization Website

Type of Event

{name}

Event/Activity Description

{name}

What do you want Corps members to do?

{name}

Date

Start Time

End Time

Is this is reoccurring request

Point of Contact

Role/Title

Phone Number

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