Serving RI Week Registration Survey

Serving Rhode Island Week, April 17-24 -- REGISTRATION FORM

Please SIGN-UP for one or more to the following service projects for Serving Rhode Island Week. Each of these projects have a range of light to heavy duty physical work requirements.

We will be in contact with you for communicating information and project details up to the time of service project.

We encourage workplace and/or community group TEAMs to register. (Form your own team.)

Please remember that EACH PERSON signing up to volunteer for a service project MUST COMPLETE a separate registration form. That means EACH member of a family and/or team needs to complete this form.

If you have any questions, please call Ricardo Matta or Sherida Kipp at 401.331.2298. Thank you!

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1. YOUR contact information:

YOUR contact information: Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

2. Including YOURSELF, how many are in your party?

PLEASE HAVE EVERYONE IN YOUR PARTY COMPLETE THEIR OWN (THIS) REGISTRATION FORM. We need to do this for insurance purposes.

Including YOURSELF, how many are in your party? PLEASE HAVE EVERYONE IN YOUR PARTY COMPLETE THEIR OWN (THIS) REGISTRATION FORM. We need to do this for insurance purposes. Adults (18-54 yrs.)
Adults (55-69 yrs.)
Adults (70 + yrs.)
Youth (under 18 yrs.)

3. If you are a member of a TEAM, please write the name of your team:

If you are a member of a TEAM, please write the name of your team:

4. Please provide the names and ages of persons in your group:

Please provide the names and ages of persons in your group: 1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

5. What SERVICE PROJECT(S) are you (or your TEAM) signing up for? (See descriptions below.)

What SERVICE PROJECT(S) are you (or your TEAM) signing up for? (See descriptions below.) (1) Roger Williams Park CLEAN-UP - Sat., April 17, 8:30 AM to 12:00 Noon (200 Vols needed)

(2a) Edgewood Family Center cleaning and landscaping - Mon., April 19, 9:00 AM to 4:00 PM (25 vols. needed)

(2b) Edgewood Family Center cleaning and landscaping - Tues., April 20, 9:00 AM to 4:00 PM (25 vols needed)

(3a) E-Waste & Paper Recycling Collection at RI Community Food Bank - Sat., April 24, 8:00 AM to 12:00 Noon (50 vols.)

(3b) Rebuilding Together Recycling at RI Community Food Bank - Sat., April 24, 12:00 Noon to 3:00 PM (25 vols. needed)

(3c) Rebuilding Together Clean-Up at RI Community Food Bank - Sat., April 24, 3:00 PM to 7:00 PM (25 vols. needed)

(4) Buckeye Brigade: Annual Scoop the Herring Day at Omega Dam in East Providence, Saturday, April 24, 12:00 Noon

Service Project Descriptions:

(1) Roger Williams Park Clean-Up will need 200 volunteers to clean the water's edge around the pond, removing litter and debris. Gloves and tools will be provided.

(2) Edgewood Family Center needs 20 volunteers each day to paint and renovate this center in Cranston. Center will be place for teaching music lessons to youth after school and hosting senior center activities during the day.

(3) E-Waste and Rebuilding Together at the RI Community Food Bank (200 Niantic Avenue, Providence, RI) needs three shifts of volunteers to assist in sorting recycled computer parts and other electronic devices AND paper recycling. A large paper shredder will be on premises so that the shredding of confidential documents dropped off can be observed on the spot. 50 volunteers are needed from 8:00 AM to 12:00 Noon; 25 Volunteers are needed from 12:00 Noon to 3:00 PM; and 25 are needed from 3:00 PM to 7:00 PM.

(4) Come and be part of a human fish ladder at Omega Dam in East Providence. Herring (Buckeyes) need help getting over the dam to Omega Pond and sections of the Ten Mile River where they spawn.

6. What level of physical work are you interested in or able to do? Check one or more category.

What level of physical work are you interested in or able to do? Check one or more category. light (picking up papers, registration, supervising, giving directions, team leader)

medium (some light lifting, painting, raking)

heavy (lifting larger objects)

Serve Rhode Island is partnering with several organizations to sponsor these projects during Serving Rhode Island Week: Rebuilding Together Providence, Providence City Parks Department, Rhode Island Bass Federation Nation, Ocean State Environmental Education Collaborative and members of Rhode Island AmeriCorps teams.

THANK YOU for signing up for Serving Rhode Island Week. We will be in contact with you soon for further details and instructions. If you have any questions, call us at 401-331-2298.

Serving RI Week Registration