Survey - Pawsitive Service Interest - San Diego Humane Society

Pawsitive Service Interest

*1.

Question - Required - Contact Name

*2.

Question - Required - Contact Email

*3.

Question - Required - Contact Phone Number

*4.

Question - Required - Number of Participants

5.

Question - Not Required - Age and grade of participants

*6.

Question - Required - What will the Pawsitive Service program help you to fulfill?
Please make between 1 and 4 selections from the choices below.

	School project
	Club or group activity
	Service hours
	Other

7.

Question - Not Required - If your project must be completed by a certain date, please list it below.

*8.

Question - Required - Please select the one project that most interests you.
Please make 1 selection from the choices below.

	Promote a Pet
	Junior Philanthropist: Supply Drive
	Junior Philanthropist: Pennies for Pets
	Junior Philanthropist: Bake Sale

9.

Question - Not Required - Any questions or other information we should know about your group or project?

(Maximum response 255 chars, approx. 5 rows of text)