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Home
Contact Us
Meet The Team
Board of Directors
Command Officers
Life Members
ABOUT
History
Coverage Areas
Community & Services
Emergency Medical Services
Chaplain Services
Founders Hall Rental Facility
Boy Scout Troop 58
Our Stations
Our Apparatus
Photos and Videos
Subscribe to Newsletter
FAQ Page
Social Media
Testimonials
SUPPORT US
Support the AVFRD Blog
Annual Fund
General Donations
Planned Giving
Amazon Smile
Other Donations
VOLUNTEER
Why Volunteer
Ways to Volunteer
Operational
Administrative Services
Student Event Volunteer
Benefits
Process
Volunteering FAQs
NEWS & EVENTS
Events Calendar
Chilly Days Chili Fundraiser at Old Ox Brewery
Pancake Breakfast
Run the Greenway Event
County Fire & Rescue News
LCFR Dispatch
LCFR Radio (Broadcastify)
LCFR Dispatch (OpenMHz)
OUTREACH & SAFETY
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Event Request Form
Name
First
Last
Email
DATE INFORMATION
Rationale for event:
(Required)
Community Outreach
Company Event
Fundraiser
Public Education
Other - Please specify below.
Please enter "Other" type of event from above:
Proposed Date:
(Required)
MM slash DD slash YYYY
Alternative Date:
MM slash DD slash YYYY
Rational for Date:
(Required)
Are their any conflicts regarding date? If so, please explain below:
(Required)
Location of Event:
(Required)
Have you confirmed location is available and no conflicts exist?
(Required)
Yes
No
Is Coordination with Career Captain Required?
(Required)
No
Yes
If coordination is required with Career Captain, what type of coordination is needed and have you contacted them?
PROPOSED BUDGET INFORMATION
Supplies - Describe any line item more than $500 (e.g. t-shirts, food, educational materials, etc.):
(Required)
Item
Qty
Cost Per Unit
Total
Budget Line
Add
Remove
Committee - Describe any line item more than $500 (e.g. meals, other expenses, etc.):
(Required)
Item
Cost
Budget Line
Add
Remove
Give-Aways/Rewards/Gifts/Prizes - Decribe all and include amount:
(Required)
Other Expenses - Describe how much and rationale for amount:
(Required)
Continency - Describe how much and rationale for amount:
(Required)
ESTIMATED INCOME SECTION FOR FUNDRAISING EVENT
Define expected income for event:
Describe in detail basis for estimate (e.g. raffle sales, AVFRD swag sales, admission charge, donations, etc.):
OUTREACH SECTION
What outreach will be required to promote the event:
(Required)
Outreach to County Officials
Outreach to LCFR leadership
Outreach to other Loudoun County Volunteers
Outreach to AVFRD Members
Outreach to Public
Other Outreach
Proposed Team Lead(s):
(Required)
Team Members:
(Required)
Expected Results (e.g. 200 AVFRD members will attend celebration for their service, etc.):
(Required)
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