Jones Center Ambassador Program or Service Request

Student/Faculty/Staff Service Request Form

Please use the fields below to request a Jones Center Ambassador planned service experience. Please be as detailed as possible in your request, and an JCA will be in touch shortly to confirm the details. Please note JCAs are unavailable to lead service Wednesdays from 3:00 pm-5:00 pm.

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Your Name:
(please enter your complete first and last name)

Email address:
(please enter a valid email addresss where we can contact you)

Your Phone #:
(please enter your phone number including area code)

Are you a Faculty, Staff or Student?
If Faculty/Staff- please list your department/college

Event Date:

Event Start Time:
Event End Time:

How many volunteers will be attending this service event?

Which outreach areas are you interested in serving? Is there a certain type of work you are looking to do?

How will transportation be coordinated?

Students will carpool and meet at service site.

Department provided transportation.

Other:

What is the makeup of your group?
Is this an organization or class experience? Do the volunteers already know each other? What is their year in school, gender, etc.?

Additional Information
Is there is anything else you would like the Jones Center Ambassadors to know before they begin planning your service experience?