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 Supporting our Heroes and
Communities?

Questions/Comments

Help us fight spam
& answer the Trivia