2010 Support Application

Name (Mr., Mrs., Ms.):   T-shirt Size:

Address:   City:   State:

Zip:

Phone:   Other Phone:

Email:   Occupation:

Rebuilding Weekend

I am interested in volunteering on Saturday, April 24, 2010
(Check all that apply. Mark "S" if you are professionally skilled in an area, "A" if an amateur)

Carpentry none S A   Masonry none S A   Plumbing none S A   Electrical none S A

Roofing none S A   Drywall none S A   Painting none S A   Cabinet Installation none S A

Landscape/Lawn Care none S A   General Cleaning/Organizing none S A

Other none S A

I already know whose team I'd like to join: (name of team leader or group)

Volunteer Leadership Opportunities

I am interested in serving on a House Leadership Team (HLT) as a:
      House Captain   House Co-Captain   Materials Coordinator   Volunteer Coordinator
I am interested in serving on the following committee(s):
      Neighborhood Identification   House Review   Materials & Supplies   Rebuilding Weekend Logistics
      Volunteer Recruitment   Fundraising   Public Relations & Community Outreach   HLT Coordination

Corporate Sponsorship Opportunities

My company/organization would like to become an official 2010 sponsor of Rebuilding Together Essex County:
City Builder: $20,000 Block Builder: $10,000 Home Builder: $5,000 Room Builder: $2,500 Good Neighbor: $500 Friend: $50 Other: Please Explain
My company/organization will supply volunteers for April 24, 2010
Name of company/organization:

Other Support

I would like to make a tax-deductible donation of
I would like to make an in-kind donation of the following item(s), estimated value