Neighbor Volunteer Assistance List

Name ____________________________________________________________

Address __________________________________________________________

Telephone # ______________________________________________________

Neighborhood _____________________________________________________

Neighborhood Association President __________________________________

Type of Assistance Needed/Offered (please circle one)

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Please list the age and ability of those who will be providing services (i.e.

scout troops, church groups, etc.)

_________________________________________________________________

_________________________________________________________________

Please fax this to: 844-3498

or mail to:

One Civic Square

Carmel, IN 46032

If you have questions, feel free to call Nancy Heck at 571-2494