Name: __________________________________
Address: _____________________________________________________________________
Contact me by: HOME - PHONE - WORK - PHONE - E-MAIL - FAX - MAIL (Circle 1)
Phone (Home): _________________________ (Work): _______________________________
(Fax): _____________________________ E-mail: ___________________________________
I can help with: (check all that apply)
_____ painting _____ designing building plans _____ plumbing
_____ photography _____ building/construction _____ electrical
_____ preparing artwork _____ computer work _____ clerical
_____ landscaping _____ fund-raising _____ publicity
_____ family selection/support _____ concrete _____ telephone
work
_____ resale store cashier
_____ other (describe): __________________________________________________________
Are there any specific days or months that you are not available? If so, please identify:
______________________________________________________________________________
How much time do you need before being asked to help?
_____ hours _____ days _____ weeks _____ months
Can you help with: (Check all that apply)
_____ your time/labor _____ financial contribution
_____ building materials _____ equipment or tools as gifts
_____ construction _____ equipment use/free rental equipment use
_____ land _____ facilities
_____ other (describe): __________________________________________________________
What church do you belong to or attend (if any): ______________________________________
What civic organizations to you belong to (if any): ____________________________________