Agency Profile
Agency Name:
Street Address:
City:
Zip Code:
Phone:
Website:
Mission Statement:
Primary Contact:
Primary Contact Position:
Primary Contact Phone:
Primary Contact Email:
Executive Director:
Are you are a registered 501(c)3?
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yes
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pending
Other
Please check all that apply to your past history with the Junior League of Lawton:
Placement (recurring volunteers)
Project (volunteers + funding)
Done-in-a-Day (one time volunteers)
Other
Please check all that apply to your intended status with the Junior League of Lawton:
Placement (long term volunteers)
Project (long term volunteers + funding)
Done-in-a-Day (one time volunteers)
JLL Diaper Bank Assistance
Please provide a copy of your insurance certificate:
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