SECTION: Contact Information
Name:
Home Address:
Age: 65 and over 18-64 16-17
Home phone:
Days/hours to call:
Business phone:
Days hours to call:
Cell phone:
email:
Church affiliation if applicable:
SECTION: Interests (Check those that apply-- this is a very important part of the form!!!)
Service organization if applicable:
Occassional Need (training provided) Category Weekday Weekend Office/Computer Office/Clerical Call/Schedule Volunteers Special Events Staffing Creative idea brainstorming Hospitality Committee Gratitude Committee Public Speaking
Standing Committee Member Category Checkbox Construction Church Relations Family Selection Family Support Fundraising Public Relations Special Events Volunteer Technology
Construction Category Helper Skilled Landscaping Rough Carpentry Finish Carpentry Painting or Wood Finish Roofing Electrical Plumbing Sheet rock
SECTION: I would provide help at the job site
Activity Category Half Day Full Day Site Host/Greeter (Saturdays) Site Host (Weekdays) Deliver Building Materials
Snack/Meal Category Checkbox Prepare a lunch Delivery to site Serve lunch Donate food Donate food money
Availability Category Weekly Monthly Occasional