First Name: (required)

Last Name: (required)

Are you registering as a company, group (family/friends), or individual: (required) Company Group (family/friends) Individual

Company Name:

Department:

Title:

Email Address: (required)

Phone Number: (required)

What date and time do you prefer to drop off the donations:

Preferred Method of Contact: Both Email SMS

School Supply Drive: (required) Yes, I'm Interested No, I'm Interested in Something Else

What are the dates of your drive? (ex. start and end dates):

Location of the drive:

Would you like to have your location to be a collection point to accept donations from the community: Yes No

Can you drop off the school supplies after the drive ends: Yes No

Monetary Collection: (required) Yes No

What are the dates of your collection? (ex. start and end dates):

How will the money be donated: Check (Payable to: Helping Hands Hawaii; Memo line: Ready to Learn) Cash Online donation

Volunteer: (required) Yes No

Thank you for your interest in volunteering. Your contact information will be forwarded to our Volunteer and Community Relations Coordinator, who will then follow up with you with volunteer opportunities. : Yes, please forward my information No, I'm not interested

Any other comments or concerns?:

Do you need us to attend/speak at your event: Yes No