Name:         Date of birth:
Current mailing address:

Email address:

Phone number:

How would you like to be contacted?

phone     email     regular mail

When are you available to volunteer? weekdays     weekends

Volunteer Opportunities (check as many as you would like)

COVER Home Repair projects (Saturdays and Sundays)
Project site leader (skilled tradesmen and do-it-yourselfers contact us!)
ReCover Store (customer assistance, general store help)
Snowshoveling

Do you have any home repair skills? (not necessary but always welcome)

plumbing
roofing
carpentry
masonry
heating system repair
electrical
weatherization
painting/wallpapering

computers/technical assistance
photography
fundraising/grant-writing
radio/TV production
advertising/marketing
event planning
graphic design
other (describe)

Your reasons for volunteering? (check all that apply or add new ones)

to gain new skills
to make new friends
to maintain skills
to make business contacts
to help those less fortunate
to try out a new career
to have fun
to improve the community
required
for moral/religious reasons
other  

friends/word-of-mouth
church/spiritual group
newspaper
COVER volunteers
COVER clients
other community action groups
university/school programs
business/trade contacts
COVER brochures
shopping at the ReCover store
other Comments: