Hurricane Irene Volunteer Relief Update
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1. Default Section
Please Complete The Survey Below To Allow Us To Best Utilize Your Skills & Volunteer Efforts.
*
1
. Contact Information.
Contact Information.
Name:
Address:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
2
. Are you an individual or an organization?
Are you an individual or an organization?
Individual
Organization
If Organization (please specify # of people)
*
3
. What days are you available?
What days are you available?
Tuesday
Wednesday
Thursday
Friday
Other Dates Available (please specify)
4
. Can you haul waste materials?
Can you haul waste materials?
Yes
No
5
. What resources do you have available?
What resources do you have available?
Large Tractor with Bucket
Large Truck to Haul Silt
Truck to Haul Garbage
Thank you for your interest in Volunteering to assist the Hartford Community!
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