DSI encourages everyone toGET INVOLVED in providing clean, safewater to communities around the world!

DSI will donate to any qualified non-profit organization (501c3) customers are directly involved in that provides communities with safe water wells. We need YOU to share your story with us so we can let others know how to GET INVOLVED!

Follow DSI on Facebook to learn more about how to GET INVOLVEDand see water well stories from around the world!

dsidsi.comCOMMITMENT TO EXCELLENCE

A P P L I C A T I O N

Company Name: ________________________________________________________________

Contact Name: _________________________________________________________________

Contact Email: _________________________________________________________________

Company Address: ______________________________________________________________

Name of the non-profit organization you are a�liated with: ______________________________________________________________________________

How long have you been a�liated with this organization?______________________________________________________________________________

How did you become a�liated with the organization?______________________________________________________________________________

How many times have you volunteered with the organization?______________________________________________________________________________

What have you done as a volunteer?______________________________________________________________________________

What country (or countries) have you volunteered in?______________________________________________________________________________

Share a special moment you experienced while volunteering.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How can DSI (and others) contribute to the success of this organization?__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Annual contributions vary based on DSI’s annual budget limits.

Photos from your volunteering experience(s) are required. Send completed application and photos to: t.bolick@dsidsi.com by Thursday, February 28, 2019.