CWS Rebuild, Cedar Rapids, Iowa

CWS Rebuild, Cedar Rapids, Iowa

This form is for group leaders and individuals who are willing to join with other groups on-site to volunteer.  Individuals who are part of a group complete the waiver form(s) and skill level sheets linked below.

CWS Liability Waiver Form
CWS Skills Assessment Sheet

Bring completed waiver forms with you to the mission trip site.  Forms must be complete before work can begin.

Pam Small,Volunteer Registrar & Coordinator, will be in contact with you with details of your housing location and project coordinator.  You can contact Pam at  psmall66@gmail.com; cell phone (812) 453-3995. 

A donation of $50 per person per week or $10 per person per day is suggested to defray housing costs.  This is payable to the host congregation on-site.

PART I  
CHURCH/ORGANIZATION INFORMATION (for informational purposes) 
   
Church Name  
Church Address 
Church City
Church State 
Church Zip Code 
UCC Conference 
CONTACT PERSON (The one completing this form) 
   
Full Name
Address Line
Address Line 2
City
State/Province
Postal Code
Phone
Evening Phone
Cell Phone
Fax
Email
Expected Group Size
   
PART II  
After completing Part 1,  select a date, then submit the form. 
 Dates Available:  April 11 through May 21, 2010 Sunday 7 p.m. Orientation - Friday
First Choice of Dates:
April 11 - April 16, 2010April 18 - April 23, 2010April 25 - April 30, 2010May 2 - May 7, 2010May 9 - May 14, 2010May 16 - May 21, 2010
Second Choice of Dates: April 11 - April 16, 2010April 18 - April 23, 2010April 25 - April 30, 2010May 2 - May 7, 2010May 9 - May 14, 2010May 16 - May 21, 2010
   
Submit the form to complete processing.       
 

Contact Info

Mary Schaller Blaufuss
Team Leader, Global Sharing of Resources
700 Prospect Ave.
Cleveland, OH 44115
216-736-3214
blaufusm@ucc.org