Light Our City
Don't just curse the darkness… Be the light!
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Submit Ideas
Please complete each field below as fully as is possible.
Instructions
This form is for the submission of ideas for service projects on the day of the "Light Our City" event. It is not intended as a medium for personal requests but as a way to suggest help for others who you know may be in need. Therefore, only ideas submitted as a way to serve someone else will be considered. Each valid idea will be considered carefully but please note that many factors will determine the approval of each project. Not every idea submitted will be approved. This form must be filled out in it's entirety.
Date
*
Your Name:
*
Your Phone Number
*
Your Email
Select one of the following:
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My service idea would focus on a specific geographic area in our community.
My service idea would focus on helping a neighbor.
My service idea would focus on helping the elderly.
My service idea would focus on helping children.
My service idea will benefit my whole community.
Other
Your idea for a Light Our City service project:
*
Please give a detailed description of your idea. Be aware that someone may call you for more information, if your description isn't specific enough.
Include the following along with any other relevant information:
1) What your idea consists of,
2) Where this project would take place,
3) About how many people it would take to accomplish this project,
4) If there would be any expense in the completion of this project,
5) An estimate of expense or description of materials needed.
6) If you would be involved in the completion of the project ,
7) Any other pertinent or useful information (ie: Person being served, Contact info, etc.).
Address where prospective Service Project will take place, if available:
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombi
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepa
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Verification
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