Thank you for your interest in the annual ChangeTheWorld campaign. Please complete this form to request certificates for your youth volunteers who volunteered between April 23rd and June 3rd.
Your Organization's Name
Your Role Title
Your phone number (including the extension)
We can either send you a template of the official certificate so you can input your volunteers' names yourself, or if you share your volunteers' names with us, we can create personalized certificates for your volunteers for you.
Would you like us to send you:
A template of the ChangeTheWorld certificate to complete yourself
Personalized PDF certificates with your youth volunteers' names sent to you by email
Personalized paper certificates with your youth volunteers' names sent to you by mail
How many youth ages 14-18 volunteered 3 hours or more in your organization between April 23 and June 3?
For example: 5
How many volunteer hours in total did your youth contribute collectively to your organization between April 23 and June 3?
For example: 15
(If the 5 youth volunteered 3 hour each)
As you chose to receive the completed certificates for your youth, please enter all the names of the youth and their volunteer hours here.
Jane Smith - 5
Bob Adams - 3
Tony Wright - 6
Please tell us an address that we can mail the certificates to:
Address Line 2
State / Province / Region
Postal / Zip Code