The Revitalize Project

Name *

First Name

Last Name

Phone *

(###)

###

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Preferred Type of Impact - No Skills Necessary

Select all that apply

Roof Repair

Wheelchair Ramp

Weatherization

Accessibility Modifications

Painting/Landscaping

Electrical/Plumbing

General Home Critical Repairs

Preferred Homeowner Story

Select all that apply

Veteran

Senior

Person living with a disability

Low-Income

No Preference

Other:

Preferred County

Milwaukee

Waukesha

No Preference

Preferred Volunteer Date

**WEEKDAYS ONLY**

MM

DD

YYYY

SKILL LEVEL OF VOLUNTEERS

No experience

Some handy experience

Skilled trades available

*

We often have media coverage and need photo permission for your team members. By checking this box you are agreeing to photos being taken and used to promote The Revitalize Project. (check box)

Consent

Do not consent