Quincy University Alumni Day of Service with the Franciscan Connection Survey

1. Please enter your contact information:

Please enter your contact information: Name:
Class of:
Address:

City:
State:
ZIP:
Email Address:
Phone Number:

2. Please check all that apply:

Please check all that apply: YES, I would like to volunteer!

No, but keep me informed of future service opportunities

I would like to help with set-up

I would like to help with lunch prep

I can bring drinks

I can bring snacks

If you can bring drinks or snacks, please specify:

3. Please check those areas in which you have experience:

Please check those areas in which you have experience: Carpentry

Plumbing

Electrical

Tuckpointing

Roofing

Painting

Drywall/Plastering

Windows/Screens

Heating/Air Conditioning

Appliance Repair

House Cleaning

Flooring

Guttering

Siding

Garden/Yard work

Other hidden talents & experiences which might be utilized:

4. Family members are welcome to volunteer; however, children under the age of 15 years must be accompanied by an adult.

Family members are welcome to volunteer; however, children under the age of 15 years must be accompanied by an adult. Name & Relation:
Name & Relation:
Child & Age:
Child & Age:

5. I understand that neither the Franciscan Connection nor Quincy University provides worker's compensation for injuries and all volunteers must have their own primary health insurance. Volunteers must follow all safety procedures with tools and equipment, as well as the special instructions and on-site training provided by team leaders and project staff. I give permission to use my name and photo in project-related media coverage.

I understand that neither the Franciscan Connection nor Quincy University provides worker's compensation for injuries and all volunteers must have their own primary health insurance. Volunteers must follow all safety procedures with tools and equipment, as well as the special instructions and on-site training provided by team leaders and project staff. I give permission to use my name and photo in project-related media coverage. Signed:

Date:

Quincy University Alumni Day of Service with the Franciscan Connection
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1. Volunteer Registration Form

Quincy University Alumni Day of Service with the Franciscan ConnectionExit this survey

1. Volunteer Registration Form

Quincy University Alumni Day of Service with the Franciscan Connection
Exit this survey