Volunteer Information

Colerain Community Give Back Day Volunteer Form

Saturday, October 7, 2023 | 7:30am - 12:30pm

Join any team led by community leaders such as Colerain Police, Fire EMS and more!

Kickoff at Colerain Community Center: Colerain Community Center, 4300 Springdale Road

* Required Fields

Contact Information

Title (Ms./Mr./Mrs./Mx.)

First Name

Last Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Birth Date
(mm/dd/yyyy)

Gender

Employer (if student, enter student)

Crew Leaders and Teams

Record Type

Project

Project Date

Volunteer Name

I am signing up to be a

Volunteer Team Name

Volunteer Team Lead

Additional Information (Team name, preferred dates, etc.)

Additional Volunteers From Your Household

Skills and Task Preferences

Exterior Home Maintenance (painting, repair handrail, fix downspout, etc.)

General Construction Experience (repair/replace sidewalk, repair wood or concrete steps, install new handrail, etc.)

Yardwork and Cleanup (no skills required)

Are you able to bring your own tools? If yes, please list them here.

Privacy Policy
PWC takes your privacy as a volunteer very seriously. We will never sell, loan, trade or otherwise release your personal information. We take precautions to protect your information.

Terms/Conditions
By submitting this form:

You hereby release and hold harmless People Working Cooperatively, Inc., their funders, supporters, officers, agents and employees and the homeowner for whom I am doing home repairs for any injury which I may suffer or incur as the result of my volunteering.
You understand that PWC takes the privacy of its clients very seriously and will never breach a client's privacy or the confidentiality of a client's record.
You understand that volunteers are covered up to $1,500 in medical insurance related to their specific volunteer duties.
You allow PWC to use your image/photograph for agency promotional purposes.

Please note, these waivers and releases shall remain in effect for all PWC volunteer activities.