Alternative Sping Break, March 17-23, 2013
Superstorm Sandy Relief
Gerritsen Beach/Far Rock Away, NY

Application due by 5p.m., Friday, February 8, 2013

  Yes
  No
**You will be required to provide documentation showing proof of health insurance. We will need to make a copy of your insurance.**
Please provide the following information about your emergency contacts:

Special Skills

Please indicate if you have experience in any of the following areas or can speak and of these languages.

  Construction
  Electrical
  Plumbing
  Landscaping/Dirt Work
  Debris Clean-Up
  Demolition
  Carpentry
  Mucking Out
  Making Care Packages
  Meal Preparation
  Arabic
  Cantonese
  French
  Haitian Creole
  Hindi
  Spanish
  Italian
  Korean
  Russian
  Polish
  Mandarin
  Yiddish
  Yes
  No
In 150 words or so per question, please answer the following questions.