YCC Guest Speaker

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YCC Guest Speaker

In-Kind Donation Contribution Form

YCC Guest Speaker Form

YCC empowers and mentors young adults, ages 16-24, to succeed through education and training in life skills, career pathways, and environmental stewardship. We offer three programs: a two-month summer conservation program, a six-month YouthBuild program, and a four-month Graduate program.

Contributor's Information

*NOTE: This is a contribution of your time.

Name of Business or Individual *

Name of Primary Contact *

Address *

City, State, Zip *

Phone *

Email *

Contributed Goods or Services *

Guest Speaker

Mock Interview

Date(s) of Contribution *

Total Hours Contributed *

Real or Estimated Value of Your TIme *

How was the value determined *

Actual

Appraisal

Who made this value determination? *

Are there restrictions on this contribution? *

Yes

No

If yes, explain the restrictions.

Was this contribution obtained with or supported by Federal Funds? *

Yes

No

If yes, please provide the name of the Federal agency and the grant or the contact number.

By signing this form, I consent to have my photo, quotes and stories used on behalf of YouthBuild and AmeriCorps in publications, promotional items, media relations and on the Web site. If possible, I would like to receive copies of documents that have media related to me in them. *

Yes

No

Signature *

Date *

If you are human, leave this field blank.