Rebuilding Together Oklahoma City

Volunteer Application


* - Required field

* Application Date
* First Name
* Last Name
* Team (if you are not part of a team, select the "Individual Volunteer" option)
Home Address 1
Home Address 2
Home City
Home State
Home Zip Code
Business Name
Home Phone
Work Phone
Work Phone Ext
Cell Phone
* Email
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Address
Emergency Contact City
Emergency Contact State
Emergency Contact Zip Code
Emergency Contact Home Phone
Emergency Contact Work Phone
Emergency Contact Work Phone Ext
Emergency Contact Cell Phone
T-Shirt Size
Date of Birth
* Availability
* Hear About
Skills-Clutter Organizer
UnskilledSome SkillSkilledLicensed /or Certified
UnskilledSkilledLicensed /or Certified
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Data Entry
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Flooring Carpeting
UnskilledSome SkillSkilledLicensed /or Certified
UnskilledSome SkillSkilledLicensed /or Certified
Skills-General Contractor
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Heating HVAC
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Office Work
UnskilledSome SkillSkilledLicensed /or Certified
UnskilledSome SkillSkilledLicensed /or Certified
UnskilledSome SkillSkilledLicensed /or Certified
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Project Management
UnskilledSome SkillSkilledLicensed /or Certified
UnskilledSome SkillSkilledLicensed /or Certified
UnskilledSome SkillSkilledLicensed /or Certified
Skills-Windows Doors
UnskilledSome SkillSkilledLicensed /or Certified
UnskilledSome SkillSkilledLicensed /or Certified
Which skills are you most interested in using while volunteering with Rebuilding Together?
1. Voluntary Participation: I have applied to participate as a volunteer in the Rebuilding Together OKC home repair project (the “Project”), in which the homes of disadvantaged persons will be repaired by volunteers. I understand that as a volunteer I will not be paid for my services, that I will not be covered by or eligible for any insurance coverage (if any) provided by Rebuilding Together, other Project volunteers or sponsors, or Project homeowners, including but not limited to medical, property and liability insurance, and workers compensation benefits. I further agree that my participation in the project may be terminated at any time by Rebuilding Together or by me. This release covers my participation any day I work for Rebuilding Together. 2. Assumption of Risks: I AM AWARE THAT, BY PARTICIPATING IN THE PROJECT, I MAY BE EXPOSED TO PERSONAL INJURY OR DEATH OR DAMAGE TO MY PROPERTY AS A RESULT OF MY ACTIVITIES, THE ACTIVITIES OF OTHER VOLUNTEERS, OR THE CONDITIONS UNDER WHICH MY VOLUNTEER SERVICES ARE PERFORMED. WITH KNOWLEDGE OF THESE RISKS, I AGREE TO ACCEPT ANY AND ALL RISKS OF PERSONAL INJURY OR DEATH OR DAMAGE TO MY PROPERTY, AND I VERIFY THIS STATEMENT BY SUBMITTING THIS ONLINE APPLICATION. 3. Release: In consideration of the opportunity afforded me to participate in the Project, I hereby agree that I, my successors, assignees, heirs, guardians and legal representatives, will not make any claim against Rebuilding Together or any of its affiliated organizations, or their officers, directors, employees, agents, or donors, or the suppliers of any materials or equipment that are used during the Project, any of the Project volunteers or sponsors, or any homeowner participating in the Project, for injury, death or damage resulting from the acts or omissions of any person or entity, however caused, arising from my participation in the Project. Without limiting the generality of the foregoing, I hereby waive and release any rights, actions, or causes of action resulting from personal injury to me or my death, or damage to my property, sustained in connection with my participation in the Project; provided, however, that the injury, death or damage was not caused by an act or omission of another person that was reckless, wanton, intentional, or grossly negligent. I further consent to the unrestricted use by Rebuilding Together and/or any person authorized by it of any photographs, recording, interview, videotapes, motion pictures or similar visual or auditory recording of me created in connection with the Project. 4. Knowing and Voluntary Execution: I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A CONTRACT BETWEEN MYSELF AND Rebuilding Together OKC AND A RELEASE OF LIABILITY, AND I SUBMIT IT OF MY OWN FREE WILL. BY SUBMITTING THIS AGREEMENT, I CERTIFY THAT I AM EIGHTEEN YEARS OF AGE OR OLDER OR HAVE DELIVERED THE CONSENT OF MY PARENT OR GUARDIAN TO Rebuilding Together OKC.
* I have read and agree to the disclaimer