GROUP INTEREST FORM

SECTION ONE: General Information for Group Contact (Group Leader)
First Name	*
Last Name	*
Primary Phone	*
Type	*	Work Home Cell
Secondary Phone
Type		Work Home Cell
Email Address	*
SECTION TWO: Organization/Group Information
Organization/Group Name	*
Group Type (Check any boxes that apply)	*	Business Organization Church School Youth Group (16-17 year olds) Other
(IMPORTANT REMINDER: All construction volunteers must be 16+ years old; youth groups with 16-17 year olds must have a 1:4 adult to youth ratio.)
MAILING ADDRESS FOR GROUP
Address Type	*	Organization/Business address Group Leader's home address
Street or P.O. Box	*
City/ State	*
Zip / Postal	*
Group website (if applicable)
Appx. Group Size	*
How often is your group interested in volunteering?		Once a year 2-5 times a year Monthly Weekly Other
Availability (Check as many boxes as apply)	*	Wednesday Thursday Friday Saturday
Preferred Month(s)	*	January February March April May June July August September October November December
If you have a preference for a particular date:
Any additional details about your group we should know? Please include preferred tasks, special skills or limitations your group may have (working on ladders/roofs, lifting more than 50 lbs, etc.)