Gulf Coast State College | Community Events

COMMUNITY SERVICES AWARENESS DAY REGISTRATION FORM 2019

Community Services Awareness Day takes place in the spring term each year.

Community Services Awareness Day is an opportunity for students, staff, faculty, and members of the community to speak with representatives from organizations in the area that promote healthy and safe choices as well as other community services in our area that assist individuals. Individuals may speak with the organization concerning the services that they offer and find opportunities to volunteer with the organizations to give back to the community.

If you see this don't fill out this input box.

This form is to participate in the Community Service Awareness Day on Wednesday, April 8, 2020.

Event will be held outside of the Student Union East building under the sails and on the patio and will be limited to the first 40 respondents. Alternate location for inclement weather will be the Cafeteria inside of the Student Union East building.

The Publicity Flyer DEADLINE is March 23, 2020.
The FINAL REGISTRATION DEADLINE is April 3, 2020.

Agency's Name: (Required)

Contact Person: (Required)

Phone Number: (Required)

Email Address: (Required)

Will you be able to participate this year? (Required)

If ABLE TO PARTICIPATE, please fill out the attendee information and door prize sections.

If NOT ABLE TO PARTICIPATE, please choose your future invitation preference.

Please, no more than four individuals per agency. Thank you.

First and Last Names of Individuals Attending:

Special Needs Requested:

Please Note: Persons sponsoring booths will not be eligible for door prizes. Thank you for being understanding of this policy.

Will your agency be able to provide a door prize? (Required)

If able to provide a door prize, what will your agency contribute?

If NOT ABLE TO ATTEND, would you like to be invited again? (Required)

For more information please contact:

Leigh Bailey

lbailey@gulfcoast.edu

(850)769-1551 ext. 4861