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CROP Hunger Walk Team Information Form

Note: required fields are in red.

City/Walk Name:   Year (yyyy) :

Your E-Mail Address:


Dates (Month dd, yyyy):

Walk:
Recruiter's Orientation:
Evaluation Meeting:

Other Walk Team meeting dates:


Goals:

# of Groups:
# of Walkers :
$ Amount per Walker:
Total $:


Local hunger agency(ies) name(s) and percentage:

Walk start site:

Registration time:       Starting time:

Local Walk Website URL:


CROP Hunger Walk Team:

(Essential persons to identify in order for us to provide support for you as you plan your CROP Hunger Walk.)

Walk Team Leader(s)

Name:
Address:
City/State/Zip:
E-mail:
Home Phone:
Business Phone:

Walk Team Leader(s)

Name:
Address:
City/State/Zip:
E-mail:
Home Phone:
Business Phone:

Primary Recruitment Contact

Name:
Address:
City/State/Zip:
E-mail:
Home Phone:
Business Phone:

Primary Logistics/Safety Contact:

Name:
Address:
City/State/Zip:
E-mail:
Home Phone:
Business Phone:

Treasurer/Finance:

Name:
Address:
City/State/Zip:
E-mail:
Home Phone:
Business Phone:

Other Team Member:

Name:
Address:
City/State/Zip:
E-mail:
Home Phone:
Business Phone:

Other Team Member:

Name:
Address:
City/State/Zip:
E-mail:
Home Phone:
Business Phone:

Other Team Member:

Name:
Address:
City/State/Zip:
E-mail:
Home Phone:
Business Phone:

Other Team Member:

Name:
Address:
City/State/Zip:
E-mail:
Home Phone:
Business Phone:

 

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