LSM/NJ - Lutheran Disaster Response Individual Volunteer Registration Form
Lutheran Social Ministries of New Jersey, in partnership with Lutheran Disaster Response, is committed to the preparation and response to any natural or man-made disaster.  In the wake of Superstorm Sandy your help will be vital to the recovery process.  If you are willing to volunteer please fill out the form below.  Once received we will contact you to discuss volunteer opportunities.  Any questions or comments may be directed to Amy Pennenga, Disaster Recovery Coordinator at apennenga@lsmnj.org.  Thank you for your interest!
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Contact Information
Your name? *
Your mailing address? *
Your city? *
Your state? *
Your ZIP Code? *
Your primary phone number? *
Your secondary phone number?
Your email address? *
Are you 18 years of age or older? *
If not, please provide your current age.
Certification(s)
I have the following Certification(s):
Please check all that apply to you.
If Other, please specify in the box below.
Skills and Abilities
I have skills / experience in the following area(s):
Please check all that apply to you.
If Other, please specify below.
Please indicate the areas you are willing to help by selecting the years experience you possess.
Less than one year experience
One to five years experience
Five to ten years experience
Ten + years experience
Mucking out homes.
Cleaning out homes.
Clearing debris.
Organizing supplies or donations.
Transporting volunteers.
Transporting supplies.
Meal preparation.
Insulation installation.
Drywall installation.
Painting
Installing tile or floor coverings.
Finish carpentry.
Roofing.
Landscaping.
Other.
Clear selection
If Other, please specify below.
Availability
What is your availability? *
Please provide the dates / days of the week you are available to volunteer. Please be specific as possible.
Do you currently live in the state of New Jersey? *
Do you have your own transportation? *
Are there any additional details or information you would like to provide that may assist in matching you with volunteer opportunities?
Ex: Special accomodations, etc.
Submit
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