Cuyahoga County Senior Shoe Distribution

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Event Wrap-Up

Event ID

Event Leader

Your Email

Distribution Date

Cityyour full name

Volunteer Engagement

Complete # volunteers, # of hours, and comments for each of the following:

Shoe Distribution: # Volunteers

Shoe Distribution: Commentsmore details

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Shipment Information

Was your shipment on time?

YesNo

Was your shoe order accurate?

YesNo

Describe your shoe order inaccuracies.

0 /

Was your sock order accurate?

YesNo

Describe your sock order inaccuracies.

0 /

Was your supply order accurate?

YesNo

Describe your supply order inaccuracies.

0 /

Any comments about shipping?

0 /

Story Leads

Please describe a meaningful moment that occurred during your distribution. Or, is there a volunteer or recipient who experienced something impactful - if so, drop their contact information below and marketing will follow-up with them. Please also share any media links here.

Meaningful Story and/or Contactmore details

0 /

Photography & Videography

Please upload and photos or videos. Here are the recommendations:

Horizontally record videos for 1-minute

Vertically record videos for 1-minute

3 vertical pictures and 3 horizontal pics

Upload any photos here.

Upload File

Any additional comments for this event?

0 /

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Employee Information

Name

Date

Travel Details

LocationTraveling to

Event ID#

Date of Event

Date Leaving

Date Returning

Estimated Travel Cost

Flight Cost

Airline

Rental Car Expense

Other Transportation

Meals

Hotel

Any Other Cost

Specify

0 /

Approval

Manager

Datemm/dd/yyyy

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Mixed Grill Menu

Supporting
Samaritan’s Feet

First Course
The Smith House Salad
Mixed Greens, Radish, Carrots, & Cherry Tomato with a Mustard Seed Vinaigrette

Second Course
4 oz. Petit USDA Prime Filet Mignon
Served Medium Rare with Standard Sauce
&
4 oz. Norwegian Salmon
Home-Style Mashed Potatoes & Steamed Asparagus

Third Course
Tennessee Cheesecake
Jack Daniels Caramel Sauce & Southern Candied Pecans

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First Name

Last Name

Name of Family/Individual, Business, School, Church, Etc.

Email

We offer pick-up and drop-off during the following times:

Monday-Friday: 9:00am-12:00pm or 1:00pm-3:00pm

Preferred Date(s) for Pick-Up (MM/DD)

Preferred Date(s) for Drop-OffNot to exceed two weeks past pick-up date.

Make and Model of Car

Will the trunk of the car be available?

YesNo

Will the back seat of the car be available?

YesNo

How many hours are you looking to volunteer?If exceeding six hours, please consider signing up for volunteer shifts in our warehouse.

Comments

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Name of Family/Individual, Business, School, Church, Etc.

Email

Phone Number

We offer warehouse volunteer shifts on:

Tuesday-Thursday: 9:00am-12:00pm, 1:00pm-3:30pm

Saturday: 9:00am-12:00pm

Preferred Volunteer Date(s) MM/DD

Number of People in Your Group

Age Policy AgreementIn order to volunteer at Samaritan's Feet, individuals must be a minimum of eight years of age and must be chaperoned by an adult at all times. Please note that we require all minors to be chaperoned in a ratio of one adult to every five minors. By selecting yes, you agree to supply the required number of chaperones and to not bring minors in attendance under the age of eight.

YesNo

How many minors (age 8 - 18) will be in your group?

Comments

0 /

*Samaritan's Feet International does not offer volunteer hours for court ordered community service and staff is unable to sign off on documentation presented to them.

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Shoe Locker Pledge Form

Are you sponsoring as an individual or on behalf of a company?

IndividualCompany

First Name

Last Name

Email

Phone Number

Company Name

Company Contact First Name

Company Contact Last Name

Company Contact Email

Company Contact Phone Number

Mailing Address

City

Zip

Desired City, State or School You Want to AdoptSamaritan's Feet cannot guarantee your desired school will be chosen.

Pledge

$5,000: 250 shoe commitment$10,000: 500 shoe commitmentOther

Other

Payment Method

Credit CardCheckInvoice

How did you hear about the Samaritan's Feet Shoe Lockers?

I agree to the above by signing below.

SignatureI agree to the above.

(Sign Here)

Clear Signature

This form does not exist

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Amazon Smile

AmazonSmile is a simple and automatic way for you to support Samaritan’s Feet, at no cost to you. When you shop at smile.amazon.com, you’ll find the same shopping experience as Amazon.com, with the added bonus that Amazon will donate a portion of the purchase price to the charity of your choice.

Follow these instructions to start giving to Samaritan’s Feet through your regular Amazon purchases:

Sign in to smile.amazon.com on your desktop or mobile phone browser. From your desktop, go to Your Account and select the option to Change your Charity. Or, from your mobile browser, select Change your Charity from the options at the bottom of the page. Select Samaritan’s Feet.

Planned or Legacy Giving

With thoughtful planning, you can make a lasting contribution to our mission. Your gift can take any of the following forms:

Residual Bequest: after making provisions for your family and friends, the balance of your belongings (legally referred to as your “estate”) is donated to Samaritan’s Feet.

Percentage of your Estate: where a specific percentage of your estate is left to Samaritan’s Feet.

Pecuniary Bequest: where a specific sum of money is donated.

Specific Gift Bequest: referring to any non-cash items such as stock, annuities, property, jewelry, artwork, or other valuables, which can be given to Samaritan’s Feet.

Life Insurance Policy

Want to know more about a planned gift to Samaritan’s Feet? You should make an appointment with your legal or financial adviser. They have all the tools to help you decide what type of request to make. We have partnered with the National Christian Foundation to make it easy for our supporters to donate cash and non-cash assets to us to take full advantage of all tax credits and benefits.

Matching Gifts

Many companies have programs through which they will “match” the charitable contributions made by their employees. Through corporate gift matching, your employer can multiply your donation to Samaritan’s Feet, making it go further.

Check with your company’s Human Resources office to see if they offer gift matching. If your employer does offer this program, your Human Resources department should provide you with a matching gift form to send to us, along with your donation. Complete this form and mail it with your donation to:

Samaritan’s Feet International
4808 Chesapeake Dr
Charlotte, NC 28216

Free Sneakers for Local Seniors!

Volunteer Engagement

Shipment Information

Story Leads

Photography & Videography