Group Project Form
Please provide the following information.
Group and Contact Info
First name:
*
Last name:
*
Title:
Choose
Dr.
Jr
Miss
Mr.
Mrs.
Ms.
Organization/Group:
*
Street Address:
*
Organization Name:
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
County:
Choose
A state other than MD
Allegany County
Anne Arundel County
Baltimore City
Baltimore County
Calvert County
Caroline County
Carroll County
Cecil County
Charles County
Dorchester County
Frederick County
Garrett County
Harford County
Howard County
Kent County
Montgomery County
Prince George's County
Queen Anne's County
Somerset County
St. Mary's County
Talbot County
Washington County
Wicomico County
Worchester County
*
Work phone:
Email address:
*
How many Volunteers do you have? Do you have any dates in mind? Do you offer corporate matching?
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