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Rebuilding Together Greater Haverhill, Inc. has provided an online application for those who are interested in volunteering for our organization.

Please fill out completely and submit the online form. You are rquired to choose a project. If you want to be assigned to a specific homeowner project, please choose the name. If you do not know or if you have no preference, please choose that option. We will contact you to follow up on your application.

NOTE: PARENTAL PERMISSION MUST BE GIVEN TO VOLUNTEERS UNDER THE AGE OF 18. ONLINE APPLICATION IS ONLY FOR THOSE OVER THE AGE OF 18.



* - Required field.

*First name
Middle name
*Last name
*One address is required.
Home Address 1
Home Address 2
Home City
Home State
Home Zip code
Set Home Address as Mailing Address
Business Name
Business Address 1
Business Address 2
Business City
Business State
Business Zip code
Set Business Address as Mailing Address
Receive Updates
*One phone is required.
Home phone
Work phone ext.
Cell phone
*E-mail address
Alternate e-mail address

Emergency Contact
Name
Relationship
Address
City
State
Zip code
Home phone
Work phone
Work phone ext.
Cell phone

*Project
I prefer to work with the following group or person
Application date
Age 18 or older
16 to 18
14 to 16
Under 14
Languages Spoken
T Shirt Size
Hear About
If Other:
Availability
Skill Unskilled Some Skill Skilled Licensed +/or Certified Comments
Skills-Carpentry
Skills-Computers
Skills-Concrete Flat Work
Skills-CPR First Aid
Skills-Data Entry
Skills-Drywall
Skills-Electrical
Skills-Energy Team
Skills-Flooring Carpeting
Skills-Fundraising
Skills-General Contractor
Skills-Green Team
Skills-Gutters
Skills-Heating HVAC
Skills-Homeowner Liaison
Skills-Hospitality Coordinator
Skills-Landscaping
Skills-Masonry
Skills-Office Work
Skills-Painting
Skills-Photographer
Skills-Plumbing
Skills-Project Management
Skills-Publicity
Skills-Roofing
Skills-Safety Monitor
Skills-Stucco Work
Skills-Tile Work
Skills-Volunteer Coordinator First Mate
Skills-Warehouse Coordinator
Skills-Windows Doors
Skills-Other
Please check off the tools below that you would be able to bring to the project, if needed.
Other Tools
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PLEASE READ CAREFULLY! THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS!

RELEASE AND WAIVER OF LIABILITY

I, as a Volunteer ('Volunteer') in favor of Rebuilding Together Greater Haverhill, Inc., a local affiliate of Rebuilding Together, Inc., a District of Columbia corporation ('Rebuilding Together'), and its directors, officers, employees, and agents, and the heirs, executors, personal representatives, successors and assigns of each of them ('Rebuilding Together Parties'). Volunteer desires to work as a volunteer on a Rebuilding Together project desginated in above(.Project.) and to engage in the other activities related to being a volunteer. Volunteer understands that these activities may include repairing and rehabilitating homes and other residential buildings, including shelters and group homes. Volunteer does hereby freely, voluntarily, and without duress, give this

Release under the following terms:
1. Waiver and Release. Volunteer does hereby release and forever discharge and hold harmless each of the Rebuilding Together Parties from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer's activities with respect to the Project and does covenant not to sue any of the Rebuilding Together Parties with respect to such matters. Without limiting the generality of the foregoing, Volunteer understands and agrees that this Release discharges each of the Rebuilding Together Parties from any liability or claim that Volunteer may have against any of them with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer.s activities with respect to the Project, whether caused by the negligence of a Rebuilding Together Party or otherwise. Volunteer also understands and agrees that Rebuilding Together does not assume any responsibility for or obligation to provide financial assistance or any other assistance in the event of injury or illness.
2. Medical Treatment. Volunteer does hereby release and forever discharge the Rebuilding Together Parties from any claim whatsoever which arises on account of any first aid, treatment or service rendered in connection with the Volunteer.s work on the Project.
3. Assumption of the Risk. Volunteer understands that the work on the Project may include activities that may be hazardous to the Volunteer, including, but not limited to, construction and repair, painting, moving furniture and appliances, loading and unloading construction supplies and equipment, trash removal, use of tools and equipment, and transportation to and from work sites. Volunteer hereby expressly and specifically assumes the risk of injury or harm in these activities, whether caused by the negligence of a Rebuilding Together Party or otherwise.
4. Insurance. Volunteer understands that Rebuilding Together does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is strongly encouraged to have adequate medical or health insurance coverage in effect.
5. Photographic Release. Volunteer does hereby grant and convey unto Rebuilding Together all rights, title, and interest in any and all photographic images and video or audio recordings made by Rebuilding Together during the Volunteer.s activities with respect to the Project, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. 6. Other. Volunteer expressly agrees that this Release is intended to be as, but only as, broad and inclusive as permitted by the laws of the Commonweatlh of Massachusetts. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release, all of which shall continue to be enforceable.

I have read and agree to the disclaimer.