MLK Day of Service Registration Form

Full Name:

Email:

Contact Number:

Class Status:

Alumni

Faculty

Staff

Graduate Student

Undergraduate Student

Other

If you selected "Other", please explain::

Do you represent a Student Group?:

Yes

No

If you selected "Yes", please list the student group(s).:

Do you want to be a Site Leader?:

Yes

No

For more information please contact Donald Curtis at Volunteer@american.edu.

Are you AUTO Certified?:

Yes

No

Would you be interested in driving a van of up to (9) volunteers to one of the sites?:

Yes

No

I understand that all volunteers must complete the online registration form to be guaranteed a spot.:

Yes - I agree and understand.

T-Shirt Size:

XS

S

M

L

XL

XXL

MLK Day of Service is a three part event: (1) morning service project, (2) reflection activity, and (3) evening service project. I plan to attend the following (please select all events that are applicable.):

Morning Service Event

Reflection Program

Evening Service Event

Degrees

Directory Assistance

Offices & Services

Shortcuts

Ctr for Community Engagement & Service

Questions?

MLK Day of Service Registration Form