Date of Notice _________________________________Month(s) to Post______________________

Agency/Organization *_______________________________________________________________

Type of Organization________________________________________________________________

Contact Person_____________________ Phone No._______________ Fax No_________________

Address _________________________________________________________________________

E-mail Address____________________________________________________________________

Type of Volunteer Opportunity:

Ongoing ________ Special Event ________

Brief Description of Volunteer Opportunity (who, what, when, where, why)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Wish List (Donated items your agency needs- Please be specific)

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

*Include a copy of your organization’s logo for your listing.

Fax completed form to: Khrista Dechert - 717-273-7030 or email to kdechert@unitedwaylebco.org

Questions? Call 273-8144

Please copy this form and use it to periodically update your listing or to change any incorrect information.

Visit www.unitedwaylebco.org to see your listing.