DEADLINE FOR REGISTRATION
FOR THE FALL 2007 PROJECTS
IS MONDAY, OCTOBER 22, 2007
AT 5:00 P.M.
AFTER THIS DATE, PLEASE CONTACT
YOUR TEAM CAPTAIN.
SECTION 1
WHO ARE YOU?
FOR DETAILED INFORMATION ON VOLUNTEERING CLICK HERE
FIRST
How did you hear about
TOGETHER WE PAINT?
First Name
Last Name
Home Address
Apartment/Condo
#
City
State
Zip
Home
Phone
Work
Phone
Email
Employer
Position
Are you a member
of a credit union?
Yes
IF YES, which
credit union(s)
PLEASE SELECT ONE
AEA FCU
APC Employees FCU
Alhambra CU
American Southwest CU
Altier CU
AZ Central CU
AZ Federal CU
AZ Heritage CU
AZ State CU
Banner FCU
Bashas Associates FCU
Canyon State CU
Chicanos Por La Causa FCU
Cochise CU
Coconino FCU
Credit Union West
Deer Valley CU
Desert Energy CU
Desert Medical FCU
Desert Schools FCU
E. M. FCU
First American CU
FirstCorp CU
First CU
First Edition Community CU
Havasu Community CU
Hughes FCU
JACL CU
Maricopa Santa Fe FCU
MariSol FCU
Meriwest CU
Mohave Community FCU
Mountain America CU
Pima FCU
Pinal County FCU
Prescott FCU
Pyramid CU
Ray FCU
San Tan CU
Santa Cruz County School Personnel CU
Shamrock Foods FCU
Snowflake Mills FCU
Southern AZ Communications CU
Southeastern AZ FCU
Southwest Airlines FCU
Southwest Healthcare CU
State Farm FCU
Sun Country CU
SunWest FCU
SWG FCU
Tempe Schools FCU
Tombstone FCU
Tucson Federal CU
Tucson Healthcare Affiliates FCU
Tucson Old Pueblo CU
Tucson Telco FCU
TruWest CU
U-Haul FCU
Vantage West CU
W-M Employees CU
Western FCU
Winslow Santa Fe CU
Winslow School Employees FCU
Yavapai FCU
Birthdate
(MUST be at
least 18 or part of a team.)
Age
T-Shirt Size
Large
Medium
Small
XL
XXL
Child
Are you part of
an existing sponsored team?
Yes
If Yes, name of
team
PLEASE SELECT ONE
AZ Credit Union System Home Office
CAUSE AND EFFECT PR
Lovin Life After 50 Publication
Reverse Mortgages USA
AEA FCU
APC Employees FCU
Alhambra CU
American Southwest CU
Altier CU
AZ Central CU
AZ Federal CU
AZ Heritage CU
AZ State CU
Banner FCU
Bashas Associates FCU
Canyon State CU
Chicanos Por La Causa FCU
Cochise CU
Coconino FCU
Credit Union West
Deer Valley CU
Desert Energy CU
Desert Medical FCU
Desert Schools FCU
E. M. FCU
First American CU
FirstCorp CU
First CU
First Edition Community CU
Havasu Community CU
Hughes FCU
JACL CU
Maricopa Santa Fe FCU
MariSol FCU
Meriwest CU
Mohave Community FCU
Mountain America CU
Pima FCU
Pinal County FCU
Prescott FCU
Pyramid CU
Ray FCU
San Tan CU
Santa Cruz County School Personnel CU
Shamrock Foods FCU
Snowflake Mills FCU
Southern AZ Communications CU
Southeastern AZ FCU
Southwest Airlines FCU
Southwest Healthcare CU
State Farm FCU
Sun Country CU
SunWest FCU
SWG FCU
Tempe Schools FCU
Tombstone FCU
Tucson Federal CU
Tucson Healthcare Affiliates FCU
Tucson Old Pueblo CU
Tucson Telco FCU
TruWest CU
U-Haul FCU
Vantage West CU
W-M Employees CU
Western FCU
Winslow Santa Fe CU
Winslow School Employees FCU
Yavapai FCU
Do you desire to
volunteer with another person who has already completed (or
is expected to complete) an application?
Yes
If Yes, with
which person would you like to work?
Are you planning
on building a team of Volunteers?
Yes
How many
Volunteers would you estimate?
From which
organization would your team be?
How would you
like to identify or name your team?
SECTION 2
WHAT DATES CAN
YOU HELP?
TUCSON AREA
SATURDAY,
OCTOBER 13, 2007
SATURDAY, APRIL
12, 2008
NORTHERN AZ
NORTHERN PHX
FLAGSTAFF AREA
PRESCOTT AREA
SATURDAY,
OCTOBER 20, 2007
SATURDAY, APRIL
19, 2008
PHOENIX AREA
SATURDAY,
OCTOBER 27, 2007
SATURDAY, APRIL
26, 2008
SECTION 3
WHAT TYPE OF
HELP ARE YOU WILLING TO PROVIDE?
(PLEASE CHECK ALL AREAS OF
INTEREST)
1)
VOLUNTEER as a painter on paint day
Yes.
Help
paint a home, school, or building on a Saturday in my community
2)
VOLUNTEER as a captain on paint day
SITE
CAPTAIN
Yes.
Lead
the efforts of improving one specific site, including acting as liaison
VOLUNTEER CPTN
Yes.
Organize and
lead the volunteers at one site, inc communications
PAINT
CAPTAIN
Yes.
Direct the
efforts of all volunteer painters at one site, inc day-of orientation
PHOTO/VIDEO
Yes.
Take
photos & video of improvement effort, volunteers at one or more sites
AREA
CAPTAIN
Yes.
Manage
multiple Site Captains, coordinate multiple day-of activities
Please list any
experience or background you may have in the area of interest
3)
VOLUNTEER to help repair or improve
Yes.
Professionals, contractors, plumbers, electricians, and handymen needed
Please list any
experience, background, or special tools you may have that could be
of help
4)
VOLUNTEER to help pressure clean a home
Yes.
Pressure
cleaning or power-washing professionals needed
Please list any
experience, background, or special tools you may have that could be
of help
5)
VOLUNTEER to help plan/organize
Yes.
Planning,
clerical, phone calls, letters, running errands, etc.
Please list any
experience or background you may have in this area
What
city/town/area you would like to volunteer?
(Be as
specific as possible)
A
Z
What type of
site would you be interested in helping with?
Home
School
Community
Building
ANY
If you would
like to volunteer at a specific site, please give name and/or
address of site.
Have you ever
volunteered for a similar
project?
Yes
No
(We are very happy to
take rookies)
If YES, please
explain
In an effort to
improve your volunteer experience, would you be willing to complete
a brief survey on Volunteerism?
Yes.
(You will receive the survey in the next 30 days)
Please feel free
to add any comments, thoughts, or opinions on how we can make this a
Better Volunteer Experience!
THANK YOU IN
ADVANCE FOR YOUR HELP IN MAKING THIS WORTHWHILE PROJECT
A REALITY!