Organization or Person(s) requesting assistance:
Name and/or description of the event or activity where assistance is being requested (including purpose):
Date(s) of Request (mm/dd/yyyy):
Location(s) where assistance will be needed:
Total estimated number of Knights needed (by date - as applicable):
Are the Knights being asked to coordinate the activity/event?	Yes No
- If No, should they call or email the Primary Contact listed below?	Yes No
Description of specific assistance needed (include a description of each of the roles and associated responsibilities/expectations; and the estimated number of Knights needed for each of the roles - by "shift" as applicable):
If you have a corresponding request for financial support from the Knights - please indicate the dollar amount here and complete the "Charitable Request Form":	$
Have you already made contact with a Knight from our council about this need for assistance?	Yes No
- If Yes, who?
Have you received assistance from this council previously for this same event or activity?	Yes No
- If Yes, when?
Is this is a one-time request?	Yes No
- If No, what would be the frequency of assistance needed?
Are you soliciting assistance from other sources?	Yes No
- If Yes, please describe?
Date that a response is needed from the council:
Primary Contact Information for council questions and/or response:
Name (first, last):
Mailing Address:
Phone Number:
Email: