## NREL COMMUNITY CREWS

## COMMUNITY SERVICE PROJECT PROPOSAL FORM

## Please complete this proposal form and submit it by COB May 1, 2006 to the attention of Janice Rooney/Public Affairs MS 1623. The NREL Community Crews Committee will review all proposals and award stipends.

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| ####### Crew Name:                                                    |
+-----------------------------------------------------------------------+
| ####### Crew Leader:                                                  |
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| ####### Group/Office/Center: Title:                                   |
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| ####### Contact information:                                          |
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**Crew members and affiliations (NREL/DOE, family member, friend)**

+-----------------------------------------+----------------------------+
| #### Employee Name:                     | **Phone:**                 |
|                                         |                            |
| **Group/Office/Center:**                |                            |
+-----------------------------------------+----------------------------+
| #### Employee Name:                     | **Phone:**                 |
|                                         |                            |
| **Group/Office/Center:**                |                            |
+-----------------------------------------+----------------------------+
| #### Employee Name:                     | **Phone:**                 |
|                                         |                            |
| **Group/Office/Center:**                |                            |
+-----------------------------------------+----------------------------+
| #### Employee Name:                     | **Phone:**                 |
|                                         |                            |
| **Group/Office/Center:**                |                            |
+-----------------------------------------+----------------------------+
| #### Employee Name:                     | **Phone:**                 |
|                                         |                            |
| #### Group/Office/Center:               |                            |
+-----------------------------------------+----------------------------+
| ######## Non-employee Name:             | # Phone:                   |
|                                         |                            |
| #### Relationship to NREL:              |                            |
+-----------------------------------------+----------------------------+
| ######## Non-employee Name:             | # Phone:                   |
|                                         |                            |
| #### Relationship to NREL:              |                            |
+-----------------------------------------+----------------------------+
| ######## Non-employee Name:             | # Phone:                   |
|                                         |                            |
| #### Relationship to NREL:              |                            |
+-----------------------------------------+----------------------------+

(*Please add more names on an attachment*.)

**Identify type of project/organization (check one):**

+-------------------------------------------------------------+--------+
| **Environment and energy**                                  |        |
+-------------------------------------------------------------+--------+
| # Civic and community                                       | #      |
+-------------------------------------------------------------+--------+
| **Education**                                               |        |
+-------------------------------------------------------------+--------+
| **Health and human services**                               |        |
+-------------------------------------------------------------+--------+

  ----------------------------------- -----------------------------------
  **Benefiting Organization, if       
  applicable:**                       

  **Contact Name:**                   

  **Street address:**                 

  **City:**                           **ZIP:**
  ----------------------------------- -----------------------------------

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  **Purpose of project including expected accomplishments and explain how
  the project is tied to the mission of NREL/DOE:**

  **Time frame:**

  **Budget** (materials and supplies to implement the project)**:**

  **Estimated volunteer hours:**

  **Completion date:**
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