Neighborhood Initiative Program Volunteer Registration Form

2. Please complete this form to volunteer for the Neighborhood Initiative Program.
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip*
13. Email Address*
14. Phone Number*
16. I am available to volunteer

    1. Year Round
    2. Fix It Blitz
    3. Both

    If you are available to volunteer year round, your information will be added to our volunteer database and you will be emailed with volunteer opportunities as projects come up throughout the year.
17. I have experience in

    (check all that apply)

    1. Carpentry
    2. Electrical
    3. Landscaping
    4. Painting
    5. Plumbing
    6. Roofing
19. I am:*

    1. 18 or older

    1. 12 to 17
21. Group Information
    Are you volunteering with a group of people? If so, please provide the following information:
23. Name of Company, Church, School, Organization, etc.
25. Name of Class or Team
27. (Please note that each member of your group should complete a volunteer registration form.)
29. T-Shirt Size

    1. Small
    2. Medium
    3. Large

    1. XL
    2. 2XL
    3. 3XL

    (all T-shirts are adult sizes)
31. Additional Information
    Please use the space above to provide us with any additional information you would like us to know, or to ask us any questions you have about the Neighborhood Initiative Program.
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field