*Required Field 1 Start 2 Preview 3 Complete Volunteer Information Name * Cell Phone Number * Home Phone Number * Email Address * Street Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Will you be attending the Kick Off Breakfast? * Kick Off Breakfast will be held in the morning on the Day of Caring from 8:00 am to 8:30. Breakfast is FREE and will include McDonald's breakfast items, coffee, juice, and water. - Select -YesNo Are you 18 or over? * - Select -YesNo Are you part of a registered team of volunteers? * - Select -YesNo If yes, please enter team name * Are you willing and able to work outside? * - Select -YesNo Do you have any special skills or limitations we should take into consideration when assigning you a project? Carpentry Painting Masonry Electrical Landscaping Other If choosing other, please give a brief description of your special skill/s May we contact you throughout the year for other volunteer opportunities? * - Select -YesNo T-shirt Order T-shirt Size * - Select -SMLXLXXLXXXL When done, please click "Preview" below. If you receive an error message, a required field is missing. Submission of this form is not complete until you click "Submit" on the next page. Questions about your registration? Please contact Sydney Mihailoff at (772) 567-8900, ext. 117 or sydney.mihailoff@UnitedWayIRC.org.