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Take Care Of Oregon Days (TCO) Application

To apply, fill out the form below. Most people can complete the entire process in less than 30 minutes. There is an automatic two-hour time limit on each web session, so please don't leave the form partially completed for longer than that or you will lose your work!

* = required field

Part 1 of 2: Tell us about yourself

Your Information
Prefix: *
First Name: *
Last Name: *
Are you a teacher, student or Americorps member? *
Company/Organization/School:
Please provide your contact information. We will be sharing this information with volunteers
Day Phone: * - -   ext. 
Day Phone Type: *
Best time to reach you:
E-mail: *
E-mail Type: *
Shipping Address Type:*
Street (No PO Boxes):
City:
State:
Zip:
Mailing Address Type (If different to the shipping address
Street:
City:
State:
Zip:


Part 2 of 2: Tell us about your project
 
Project Name: *
Who owns the property?
(Example: City of Portland, BLM, US Forest Service, School etc.)
Have you received permission from them for this project?
Site Name: (location of event)
Address if available: (if available)
City: * (The city where the site is located)
State:
ZipCode:
County: (The county where the site is located)
I am planning to do a project on: * May     2009
Project Start Time: *      
Project End Time: *      
Brief description of your project: *(50 words or less)
Project Activities: *
(Select more than one by holding down the Ctrl key while clicking)
Other activities:
Potential Safety Issues:
(Select more than one by holding down the Ctrl key while clicking)
Other potential safety issues:
Will you have a pre or post event celebration for project volunteers?
(Examples: BBQ, raffle, potluck, etc.)     If yes, please describe:
  (25 words or less)
Do you need a TCO Project Planning Guide Book?


Is there a co-coordinator planning this event with you? If yes, enter contact information below

Co-Coordinator Prefix:
Co-Coordinator First Name:
Co-Coordinator Last Name:
Co-Coordinator Contact Phone: - -   ext. 
Co-Coordinator Contact Phone Type:
Co-Coordinator E-mail:
Co-Coordinator E-mail Type:
Is there public transportation nearby? *
Is this project within 200 ft of a stream?
If yes, enter a stream name:


 
CRITERIA FOR TCO GRANTS

TCO small grants support grass roots and community efforts. A limited number of grants (up to $100) are available to supplement project material and supplies costs, assisting in creating successful and sustainable projects.

Do you intend to apply for a small grant of up to $100 from TCO?

After your project is approved by TCO partners you will receive notice on how to order project supplies and apply for small grant assistance if you so need.



Is this project open to the public? (If no, skip to the next section)
Directions to site from nearest highway: (directions needed for community projects only) (50 words or less)
Parking instructions: (25 words or less)
Volunteer Meeting place: (25 words or less)
If this project is good for kids, what is the recommeded minimum age? *
Is this project part of another event or have its own event name? If yes, event name:
For community projects: Minimum volunteers needed
Maximum volunteers needed

For Teachers or School Partners only (Youth led projects)
Will this project involve students? *
Is this project closed to the public, open to the public or open to just business volunteers?
For projects involving students: # of Students     # of Adults

Will this project involve students as a community service project only OR will the service project be connected with school requirements or academic goals (service-learning project)?
If you selected business volunteers welcome we will not publicize this event to the public, but only to specific groups wishing to partner with a school for this event.

If you are a student and under 18, provide the name and contact information of your adult advisor.
We will be sharing this information with volunteers.

Advisor Prefix:
Advisor First Name:
Advisor Last Name:
Day Phone: - -   ext. 
Day Phone Type:
E-mail:
E-mail Type:

(If your browser cannot submit this form online, please print it out and send it to the address below or fax it to (503) 844-9575. Thank you!)


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