Advisor Tayler Conner
Student Advisors Kate Keefe
Gianna Tardibuono
Application for Arcadia Cares Day – Residential Contact Information
Name: ________________________________ Date:_______________ Organization (if applicable):________________________________________ Address:____________________________________________________ City: ________________ Approx. Distance from Arcadia Local: _________ miles Phone Number: (_____) _____ - ________ Type of Phone Number: ___________ Email Address (if applicable):_______________________________________
Homeowner or Renter: ____________ Number of Years at Address: __________ Number of Adults in Home: __________ Number of Children in Home: __________ Do you have insurance for your home? _______ If so, what agency? ___________
Requested Repairs/Volunteer Work
Briefly describe the type of work you would like done at your place of residence. Attach a separate piece of paper if there is not enough space to list all the work that needs to be done. We allow our students to pick their top choices to help us determine their job sites, so the more we know the better!
We prefer to have students complete mainly outside work for residents, however, if explained prior we can complete some work inside the home too. Some of the work completed in the past year includes organizing office space, playing bingo with residents, painting interior and exterior surfaces, laying mulch, cooking food, etc. Remember that the items listed below will be considered for work, but the final decision on what work can be done with our time and financial resources will be made at the discretion of the planning committee.
With residential locations, the crew that will be assigned to your house will split their time between two or three other houses. For that reason, we will plan to be at your house to help for about 1½ to 2 hours with about six workers.
Painting: List all exterior painting requirements. Be specific.
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Yard Work: Indicate if there is yard cleanup and/or trash removal required. Describe any necessary landscaping (mulching, trimming, etc).
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Other Minor Exterior Repairs: List any exterior repairs that may be necessary. Examples: broken handrail, rotting porch step, etc.
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Inside Work: List any work that our volunteers could do for you indoors.
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Other: Identify other volunteer work that we could provide.
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Do you have the means to assist with the purchase of materials for your project (if applicable)? If so, what can you purchase ahead of time? If not, we have a small grant that we can use to help purchase the items.
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Do you have enough tools for the students to help? If not, what might we need to bring to assist in helping at your residence?
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Media Agreement
I/we consent to having information released about our family/organization to sponsors and for possible, but not limited to, the organization’s newsletters, and website. This may include, but is not limited to, photographs and interviews as well as in-home visits from elected officials
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