Super Service Saturday Sign Up 2017

Please complete this form to confirm your individual participation in Super Service Saturday on Saturday August 26, 2017 from 8:00am-1:00pm.

Lunch will be provided to participants at the conclusion of the event.

Name Name * First Last
UTA ID Number *
Preferred E-mail address *
Primary Phone Primary Phone * - ### - ### ####
Will you be at least 18 years old when this event takes place? *

Will you be at least 18 years old when this event takes place? Yes (I am 18 or older) No (I am not yet 18)
I am currently a member of the following UTA student organizations/clubs:
Will you be bringing a vehicle with you to Super Service Saturday?

Will you be bringing a vehicle with you to Super Service Saturday? Yes No
If you have a vehicle, would you be able to provide a ride for others between the UC and your volunteer site?

If you have a vehicle, would you be able to provide a ride for others between the UC and your volunteer site? Yes No
Accessibility/Accommodation