Volunteer Material Requests

Type of Request (Select all that apply) *

Name *

First

Last

Email *

Phone *

What is your affiliation with Gift of Hope *

Program Information

Organization or Hospital

Program Address *

Address Line 1

Address Line 2

City

State

Zip Code

Contact

Contact Name & TItle

Phone *

Contact Email *

Date / Time *

Set Up Time *

Start Time *

End Time *

Program Location

Location

Parking

Type of Program (select all that apply) *

If special event please specify.

Number of Attendees *

Do you Need Support Materials? *

Type of Speaker (select all that apply)

Location Details (Specify Indoor (Classroom #, cafeteria, lobby, etc.) or Outdoor (is a tent needed? Tent provided? Etc.). Provide size limitations and restrictions to indoor spaces.

Describe Audience (Age, Community, Students, Ethnicity, Healthcare Professionals, etc.) *

Additional Information (specific speaker, specific hospital, specific language, demographic profile, etc.) *

(specific speaker, specific hospital, specific language, demographic profile, etc.)

Materials

Do you need materials? *

Standard Brochures

Quantities will determined by Gift of Hope Public Relations Department based on expected attendees.

Specify Faith in the box below

Standard Giveaways

How do you want to receive your materials?

Pick up
Delievered

Please provide pick-up date and location *

Date

Details *

Location and Details