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P.O.

BOX 14274 VOLUNTEER


Cleveland, Ohio 44114-0274
(216) 556-3265 REGISTRATION
Slee@rebuildingtogethercleveland.org FORM

Volunteer Information

Name
First Last

Address

City State Zip

Employer Title

Are you part of a work group? No Yes Which group?

Have you ever volunteered with RTC before? No Yes

Contact Information (Please check preferred method of contact

Home Phone ( ) Email Address


I’d like to received periodic updates from RTC
Work Phone ( )
RTC is committed to your privacy. Contact information will not sold or given
to any person or agency for any purpose unrelated to the Rebuilding Day
Cell Phone ( ) Program

I am interested in volunteering for/in:


House Captain Ass’t House Captain Rebuilding Day Volunteer

Board Position Committee Member Fundraising for RTC

PR/Media Mailings Supply Delivery

Other (Please List)

I have skills in:


Painting Carpentry Electrical

Plumbing Landscaping Plastering

Masonry

Other (Please List)

Demographics (used for grant reporting – all information in this section is optional and confidential)

Military Status None Veteran Active Branch?

Gender Male Female

Age <18 18-25 25-35 35-45 45-55 55 – 65 >65

Other info you would like to share:_____________________________________________________________________

THANK YOU FOR VOLUNTEERING FOR REBUILDING TOGETHER CLEVELAND!!!

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