Rebuilding Together - Silicon Valley

Rebuilding Day Registration

 

Spring Rebuilding Day will be Saturday, April 26, 2014

Important information about volunteering:

  • All volunteers must be 14 years of age or older. Volunteers under the age of 18 will require adult supervision, with 1 adult for every 5 minors.
  • Every volunteer must submit a new, complete registration form each Rebuilding Day, as our volunteer waiver is included at the end of the registration. Please encourage members of your group to register ASAP.
  • Volunteer Coordinators and House Captains - remember the email address you enter, as this will give you access to important information in the future!
  • Volunteers are not accepted into our database in real time- it requires processing by RTSV staff and volunteers. Please allow 24 hours for new volunteers to show up on Volunteer Coordinator and House Captain lists. If you still do not see a new volunteer after 24 hours, contact volunteer@rebuildingtogethersv.org for assistance.
  • All volunteer information is kept confidential and is used for internal purposes only.

Thank you for your interest in volunteering with Rebuilding Together Silicon Valley! Please contact us at volunteer@rebuildingtogethersv.org or (408)578-9519 with any questions.

* - Required field

* Application Date
* First Name
* Last Name
* Group (if you are part of a group of 2 to 4 please select the Individuals group and fill out the field below)
If you are part of a group of 2 to 4 persons, please enter a singular GROUP or last name here so that we can place you together. If you are part of a group of 5 or more but it is not listed in the Group dropdown above, please contact us before submitting this application.
Home Address 1
Home Address 2
Home City
Home State
Home Zip Code
Business Name
Business Address 1
Business Address 2
Business City
Business State
Business Zip Code
Set mailing address
Home AddressBusiness Address
Home Phone
Work Phone
Work Phone Ext
Cell Phone
* Email (this will also be your username)
Password
Alternate Email
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Address
Emergency Contact City
Emergency Contact State
Emergency Contact Zip Code
Emergency Contact Home Phone
Emergency Contact Work Phone
Emergency Contact Work Phone Ext
Emergency Contact Cell Phone
Are You A veteran?
Yes
No
* T-Shirt Size
* Age as of Date of Application
Availability
Languages Spoken
Hear About
Pickup Truck Available
YesNo
Receive Semi-annual Mailing
YesNo
Skills
Skills - Carpentry
UnskilledSome SkillSkilledLicensed /or Certified
Skills - Drywall
UnskilledSome SkillSkilledLicensed /or Certified
Skills - Electrical
UnskilledSome SkillSkilledLicensed /or Certified
Skills - Flooring Carpeting
UnskilledSome SkillSkilledLicensed /or Certified
Skills-General Contractor
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Heating HVAC
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Masonry
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Photographer
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Plumbing
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Roofing
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Windows Doors
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Other
Hand Tools
Hand Tools-Hammer
Hand Tools-Levels
Hand Tools-Tape Measure
Power Tools
Power Tools-CIrcular Saw
Power Tools-Drills and Bits
Power Tools-Extension Cords
Power Tools-Shop Vac
Landscape
Landscape-Flat Blade Shovel
Landscape-Leaf Rake
Landscape-Pick Axe
Landscape-Round Point Shovel
Landscape-Steel Rake
Landscape-Wheelbarrows
Specialty Tools
Specialty Tools-Concrete
Specialty Tools-Drywall
Specialty Tools-Electrical
Specialty Tools-Plumbing
Other Tools
Ladders-Step
Ladders-Scaffolding
Ladders-Extension 8 to 16
Ladders-Extension 20 to 32

REBUILDING TOGETHER SILICON VALLEY VOLUNTEER AGREEMENT AND RELEASE FROM LIABILITY


1. Voluntary Participation:


I acknowledge that I have voluntarily applied to participate in Rebuilding Together Silicon Valley's Home Repair Project (the "Project"), a project in which the homes of low income persons will be repaired by volunteers. I understand that as a volunteer I will not be paid for my services, that I will not be covered by or eligible for any insurance coverage (if any) provided by Rebuilding Together Silicon Valley, other Project volunteers or sponsors, or Project homeowners, including but not limited to medical, property, and liability insurance, and Workers Compensations benefits. I further agree that my participation in the Project may be terminated at any time by Rebuilding Together, or by me.


2. Assumption of Risk:


I AM AWARE THAT, IN PARTICIPATING IN THE PROJECT, I MAY BE EXPOSED TOPERSONAL INJURY OR DEATH OR DAMAGE TO MY PROPERTY AS A RESULT OF MY ACTIVITIES, THEACTIVITIES OF OTHER VOLUNTEERS, OR THE CONDITIONS UNDER WHICH MY VOLUNTEER SERVICES AREPERFORMED. WITH KNOWLEDGE OF THESE RISKS, I AGREE TO ACCEPT ANY AND ALL RISKS OFPERSONAL INJURY OR DEATH OR DAMAGE TO MY PROPERTY, AND I VERIFY THIS STATEMENT BY CHECKING THE BOX BELOW


3. Release:


In consideration of the opportunity afforded me to participate in the Project, I hereby agree that I, my successors assignees, heirs, guardians and legal representatives, will not make any claim against Rebuilding Together Silicon Valley or any of its affiliated organizations, or their officers, directors, volunteers, volunteer organizations, or employees, or the suppliers of any material or equipment that are used during the Project, any of the Project volunteers, sponsors, or any homeowner participating in the Project, for injury, death or damage resulting from the acts or omissions of any person or entity, however caused, arising from my participation in the Project. Without limiting the generality of the foregoing, I hereby waive and release any rights, actions or causes of action resulting from personal injury to me or my death, or damage to my property, sustained in connection with my participation in the Project; provided, however, that the injury, death or damage was not caused by an act or omission that was reckless, wanton, intentional, or grossly negligent. I further consent to the unrestricted use by Rebuilding Together Silicon Valley and/or any person authorized by them of any photographs, recordings, interview, videotapes, motion pictures or similar visual or auditory recording of me created in connection with the Project.


4. Knowing and voluntary Execution:

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A CONTRACT BETWEEN MYSELF AND REBUILDING TOGETHER SILICON VALLEY AND A WAIVER AND RELEASE OF LIABILITY, AND I AGREED TO IT OF MY OWN FREE WILL. BY CHECKING THE BOX BELOW, I CERTIFY THAT I AM EIGHTEEN YEARS OF AGE OR OLDER OR HAVE THE CONSENT OF MY PARENT OR GUARDIAN.

* I have read and agree to the disclaimer