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Event Site Details Form

VA Medical Center Supporting
Date of Event*
MM slash DD slash YYYY
Time of Event*

: Hours

Minutes
Location of Event*
The name and address of where the event will take place.
Event Description*
Provide a summary of the event and what volunteers will do.
How Many Volunteers Are Needed?*
Please enter a number greater than or equal to 1.
How many hours will each volunteer be needed?*
Instructions for Volunteers:*
(Specific parking instructions, minimum age, dress code, COVID requirements, etc.)
Site Coordinator Name*
First Last
Site Coordinator Email*
Email
This field is for validation purposes and should be left unchanged.

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