Welcome to the United Way of Windham County

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	Day of Caring Project Application
	Volunteer Signup Form

Disaster Relief Volunteer Sign-Up Form

Name:

Address:

E-Mail:

Home Phone: Work Phone: Cell Phone:

What is the best
way to reach you?

What skills or resources
are you able to volunteer?

Please check these addition skills or resources if they apply:

Pick-up truck available
Can lift over 50 lbs
Capable of doing physical labor
Can bring/lend tools or equipment

Other:

Availability: Please indicate when you are most available. Check ALL that apply

Daytime mornings (9am-12pm)
Lunchtime (12pm-2pm)
Afternoons (2pm-5pm)
Evenings (5pm+)
Weekend Days (Sat or Sun)

Specific dates available:

Please check preferred volunteer areas in Windham County

Athens
Brattleboro
Brookline
Dover
Dummerston
Grafton
Guilford

Halifax
Jacksonville
Jamaica
Londonderry
Marlboro
Newfane
Putney

Rockingham
Bellows Falls
Saxtons River
Somerset
Stratton
Townshend
Harmonyville

West Townshend
Vernon
Wardsboro
Westminster
Whitingham
Wilmington
Windham

Additional Comments: