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 typically the first Saturday in November and starts between 8:00 and 9:30 AM. DEADLINE FOR APPLICATION - second Monday in October.
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
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.
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.
50. 1. Signature
51. Resident's Full Name*
52. 1. Signature
53. Spouse's Full Name
55. Email Address
57. APPLICATION DEADLINE
    Deadline for 2020 will be announced soon. 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
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