Rake-Up Nampa Resident Application

2. 

4. RESIDENT APPLICATION
   Click here if you would like to download, print and mail the application.

6. RESIDENT APPLICATION
   Event date is Saturday, Nov. 4, 2017. Starting time will be between 8:00 and 9:30 AM. DEADLINE FOR APPLICATION - Monday, Oct. 23, 2017.

   Event date is Saturday, Nov. 4, 2017. Starting time will be between 8:00 and 9:30 AM. DEADLINE FOR APPLICATION - Monday, Oct. 23, 2017.

7. APPLICANT QUALIFICATIONS
   (1) Be at least 60 years old, OR (2) Disabled (no age qualifications, but all other criteria apply) (3) Unable to rake up property (4) Reside within Nampa City Limits

   (1) Be at least 60 years old, OR (2) Disabled (no age qualifications, but all other criteria apply) (3) Unable to rake up property (4) Reside within Nampa City Limits

9. DATE*
   DATE

10. I am a:*

    1. Homeowner

    1. Renter
12. Resident's Name*

13. Birth Date*
    Birth Date

14. Age*

15. Have a disability?*
    -- Select One --YesNo

17. Spouse's Name

18. Birth Date
    Birth Date

19. Age

20. Have a disability?
    -- Select One --YesNo

22. Street Address*

23. Zip Code*

24. Phone Number*

26. I am a United States Military Service Veteran or surviving spouse:*
    -- Select One --YesNo

27. How did you hear about us? *
    -- Select One --NewspaperTVRadioFriendSenior CenterMailingCity StaffAgency (please provide name)Other (specify)

28. If you heard from us via Agency or OTHER, please specify:

30. By my own judgement, I would call my yard size:*
    -- Select One --SmallAverage (typical city lot)Large (double lot +)

    (You will not be disqualified based on yard size; this just allows us to appropriately match teams with workloads!)

31. By my own judgement, I would say the work I need done is:*
    -- Select One --Light rakingLots of rakingThis will be some work; it's a jungle out there!

33. I would like to request some basic pruning. I understand this will be done only if my assigned team is able to do so. *
    -- Select One --YesNo

34. If requesting pruning, tell us what you specifically need trimmed.

36. Additional comments / things we should know:

38. IF YOUR HOUSE IS SELECTED:
    Someone must be present on the day the property will be raked. Bags of debris/leaves will be left for regular curb side trash services.

    Someone must be present on the day the property will be raked. Bags of debris/leaves will be left for regular curb side trash services.

39. Where does your trash get picked up? (example: curbside, in alley behind house, etc.)

    *Nampa Parks Department will be picking up select bags of leaves for composting! Don't be alarmed if someone is "stealing" your trash!

41. Will restroom facilities be available for volunteers?*
    -- Select One --YesNo

42. I agree that pictures of me and/or my house may be taken for publicity purposes.*
    -- Select One --YesNo

44. If you have adult children or other family that might like to help with your project, please give us their names & numbers. OR, if you are affiliated with a group who is participating as a team and would like to request them, tell us who they are!

48. Electronic Signature
    I understand my yard is raked by supervised volunteers, and to the best of my knowledge, this information is correct. I will not hold the sponsoring agencies or the volunteers liable for damages.

    I understand my yard is raked by supervised volunteers, and to the best of my knowledge, this information is correct. I will not hold the sponsoring agencies or the volunteers liable for damages.

50. 1. Signature

51. Resident's Full Name*

52. 1. Signature

53. Spouse's Full Name

55. Email Address

57. APPLICATIONS MUST BE RECEIVED BY OCT. 23, 2017!
    Event date will be Nov. 4, 2017, starting between 8:00 and 9:30 AM. Volunteers may take additional days prior to or after the event to complete at their discretion and with your permissions.

    Event date will be Nov. 4, 2017, starting between 8:00 and 9:30 AM. Volunteers may take additional days prior to or after the event to complete at their discretion and with your permissions.

58. Questions?
    (208) 468-5407

    (208) 468-5407

60. 

Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field