I Want to Help Rebuilding Together Worcester!
Name:
Address:
City: , State:  ZIP:
Telephone (please include area code):
Mobile (please include area code):
eMail:
Best way to contact me (select one): Mail Phone Mobile eMail
Please indicate any area of relevant expertise:
No particular expertise but very willing to help!
	Some Experience	Skilled	Licensed Professional
Painting:
Electrical:
Plumbing:
Carpentry:
Wall Papering:
Carpeting:
Tile Flooring:
Other (please specify):
I can bring tools (please specify):
Day Preferences (optional)
Friday afternoon (Apr 16, 1PM-5PM)	Saturday morning (Apr 17, 8AM-1PM lunch)	Saturday afternoon (Apr 17, lunch noon-5PM)	Sunday afternoon (Apr 18, lunch noon-5PM)
I have organizational and/or technical skills and would like to know about becoming a "House Captain" or participating in a "Tiger Team."
I am a part of an organization () and would like to work with other volunteers from that organization.
I am interested in getting involved with this program on an on-going basis (that is, planning, helping with fundraisers, publicity, etc).
I would like to make a monetary contribution to Rebuilding Together Worcester in the amount of $ (please make checks payable to Rebuilding Together Worcester) or an in-kind contribution (equipment, materials, etc).
Please print and mail this form to:    Rebuilding Together Worcester    Post Office Box 2774    Worcester, Massachusetts 01613
To volunteer, or for more information, you can also contact: R_T_Worcester@hotmail.com.
Thank you!