Mitzvah Party Home Repair Application

Fields marked with * are required.
Volunteers must be 14 years and older.

Name of Group/Organization*
Contact Person*
Home Phone*
Work Phone
Cell Phone
Street*
State*
Zip*
Email*
What date(s) would the group like to work?*
How many day(s) would the group like to work?*
What type of project would your group like to work on?
- Single Family Home
- Group Home
- Community Center
Which Mitzvah Party Option are you interested in?
- Option 1: MITZVAH PARTY IN A BOX
- Option 2: SELF-HELP MITZVAH PARTY
- Not sure yet
Number of Volunteers*
Number of Skilled Volunteers*
Describe Skills
Is this for a special occasion? (Bar/Bat Mitzvah, birthday, etc.)*
No
Yes
If Yes, what?