Rebuilding Together - Fargo Moorhead

* Application Date

* First Name

* Last Name

* Group (if you are not part of a group, select the No Group option)

Are you interested volunteering in another capacity?

Preference with Person

Home Address 1

Home Address 2

Home City

Home State

Home Zip Code

Business Name

Business Address 1

Business Address 2

Business City

Business State

Business Zip Code

Set mailing address

Home Address

Business Address

Home Phone

Work Phone

Work Phone Ext

Cell Phone

Email (this will also be your username)

Password

Alternate Email

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Address

Emergency Contact City

Emergency Contact State

Emergency Contact Zip Code

Emergency Contact Home Phone

Emergency Contact Work Phone

Emergency Contact Work Phone Ext

Emergency Contact Cell Phone

T-Shirt Size

Date of Birth

Age as of Date of Application (this is not calculated from birthday)

Availability

Hear About

Pickup Available

Receive Updates

Skills

Skills - Carpentry

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Clutter Organizer

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Computers

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Concrete Flat Work

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Data Entry

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Drywall

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Electrical

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Flooring Carpeting

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Fundraising

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-General Contractor

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Green Team

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills - Heating/HVAC

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Homeowner Liaison

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Landscaping

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Masonry

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Painting

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Photographer

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Plumbing

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Roofing

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Safety Monitor

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Stucco Work

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Tile Work

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Windows Doors

Unskilled

Some Skill

Skilled

Licensed /or Certified

Skills-Other	You are using a device that has limited capabilities in website editing. To have access to the full options, please use a device other than an iPad.

Ladders

Ladders - Extension

Ladders-Scaffolding

Ladders-Step

Hand Tools

Hand Tools-ChalkLine

Hand Tools-Clamps

Hand Tools-Hack Saw

Hand Tools-Hammer

Hand Tools-Hand Saw

Hand Tools-Levels

Hand Tools-Pry Bar

Hand Tools-Punches

Hand Tools-Razor Knife

Hand Tools-Screw Drivers

Hand Tools-Square

Hand Tools-Tape Measure

Hand Tools-Tin Snips

Power Tools

Power Tools-Circular Saw

Power Tools-Compressor

Power Tools-Drills and Bits

Power Tools-Extension Cords

Power Tools-Jack Hammer

Power Tools-Jig Saw

Power Tools-Miter Saw

Power Tools-Nail Gun

Power Tools-Roto Zip

Power Tools-Router

Power Tools-Sander

Power Tools-Sawzall

Power Tools-Shop Vac

Power Tools-Table Saw

Power Tools-Work Lights

Landscape

Landscape-Flat Blade Shovel

Landscape-Garden Hose

Landscape-Leaf Rake

Landscape-Pick Axe

Landscape-Push Broom

Landscape-Round Point Shovel

Landscape-Sledge Hammer

Landscape-Spade

Landscape-Steel Rake

Landscape-Tree Saw

Landscape-Wheelbarrows

Specialty Tools

Specialty Tools-Concrete

Specialty Tools-Drywall

Specialty Tools-Electrical

Specialty Tools-HVAC

Specialty Tools-Plumbing

Specialty Tools-Roofing

Other Tools	You are using a device that has limited capabilities in website editing. To have access to the full options, please use a device other than an iPad.

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* In consideration of the opportunity afforded me to assist on a voluntary basisin the Rebuilding Together Inc. and Rebuilding Together Fargo Moorhead Area homerepair project, in which the homes of disadvantaged persons or community centersserving this population will be repaired by volunteers, and in light of the aimsand purposes of the community service provided by Rebuilding Together, Inc. andRebuilding Together Fargo Moorhead Area in organizing this project, I herebywaive any right or cause of action arising as a result of my participation insaid project from which any liability may or could accrue against RebuildingTogether Inc., Rebuilding Together Fargo Moorhead Area or any of their officers,directors or employees, collectively and individually. Without limiting thegenerality of the foregoing, I agree that this waiver shall include any rightsor causes of action resulting from personal injury to me or damage to myproperty, sustained in connection with my activities for the home repairproject.

Permission for Use of Photo for Promotional Materials: To help us spread the word about Rebuilding Together Fargo Moorhead Area, we produce a number of promotional materials that are distributed to the public. We request your permission to use your name, photo image, and any comments, verbal and/or written, in our promotional materials.