Community Service Request Form

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Email address *

Organization's Name

Your Name *

Phone Number *

Location of Event *

Name of Event

Distance from UW-Platteville Campus *

Please provide in minutes for travel accomodations

Please describe your event and what role UW-Platteville Student-Athletes would have at your event *

What services are requested? *

Date of Event *

Start Time *

End Time *

How many volunteers are needed? *

Estimated attendance of event?

If this ia an event such as a banquet please share the estimated number of people in attendance.

* required field