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Charitable Donations
Volunteer Request Form
Part 1: Contact Information
Organization
Contact Name
Title
Website
Address
City
State
Zip
Telephone
Fax
E-mail Address
Confirm E-mail Address
Part 2: Background Information
501c3 Number
Other Companies Involved
Is this organization registered
with Volunteer Match?
Mission Statement
Part 3: Volunteer Information
Type of Volunteerism
(Skill based, hands-on, etc.)
Total Hours Desired
Number of People Desired
Volunteering Frequency
Number of individuals
positively affected by
the endeavor
Will this event have
a media presence?
Volunteer Locations
(States, cities, towns etc.
and proximity to Kmart
or Sears store)
How will the volunteers
be utilized?
How does this donation
promote Sears Holdings' mission
of
S
upporting our
H
eroes and
C
ommunities?
Questions/Comments
Help us fight spam
& answer the Trivia
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