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This form will allow you to express your desire to volunteer with Rebuilding Together Baltimore and to request more information about our work repairing homes and revitalizing communities in Baltimore City and Baltimore County. Your donation of time, money and/or building materials can make a big difference in the lives of low income homeowners; especially the elderly, disabled, and families with children.

Please read about the volunteer opportunities currently available before offering to volunteer.

If you would rather speak to us in person, you are welcome to call Eric Park, AmeriCorps Outreach Coordinator, at 410-889-2710. You may also print a copy of the volunteer application form that may be completed and returned to our office by fax or snail mail.

As you complete this form, note that the fields labeled with blue text are required entries and must be provided in order to submit this form and allow us to contact you.

First Name:

Last Name:

Organization:

Address:

City:

State:                     Zip Code:
  
E-Mail:

Phone Number:

Best time to contact:

Fax Number:



I am interested in:

 Volunteering to work on Rebuilding Day

 Volunteering to perform home modifications or emergency repairs

 Volunteering to serve on a committee

 Learning more about sponsoring one or more houses for repair

 Learning more about sponsoring a community revitalization project

 Making a tax-deductable contribution

 Donating building materials or supplies

 Donating your business expertise or professional services

 Learning more about Rebuilding Together Baltimore



List any special skills or qualifications you can offer:





Type additional requests, comments, or questions below:




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