Volunteer Organization Feedback

For disability organizations that partner with Pi Kappa Phi through volunteer relationships

Organization Name*
Your Name*
Prefix First Last
Your Title / Role with Organization
Office Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Preferred address should organization be receiving a grant.
What types of disabilities does your organization focus on?*
Which chapter / university does your organization partner with?*
How frequently does your chapter volunteer with this organization?
What types of interactions/activities has the chapter had with your organization?*
What are you looking for in growing this relationship for the future?*
What feedback do you have for the chapter in regards to their work with your organization?*
Please upload an up to date copy of your W9 form for our records.*
Drop files here or

Accepted file types: pdf, jpg, gif, png, Max. file size: 25 MB, Max. files: 2.
If you have any photos from interactions with the chapters that you are able to share, please do so here.
Drop files here or

Max. file size: 59 MB.
Please feel free to contact us at chapterservices@abilityexperience.org or (704) 504-2400 with any additional comments or concerns. Thanks!