Bring It Back to Normal: Illinois State University’s Day of Service to Thank the Community Job Request Form April 5, 2014 from 10:00am – 1:00pm Name: ______Work Site Address: ______Email Address______Phone (Home): ______(Cell): ______Best Time to Contact: ______Preferred Method of Contact: ______

JOB DESCRIPTION: Please indicate job(s) to be performed and describe specifically in space below.

Inside Jobs  Washing Windows (# of windows _____) Outside Jobs  Cleaning/Sweeping  Moving dirt  Painting  Planting or gardening  Organization  Raking leaves  Moving boxes/furniture  Trimming trees/hedges/mowing  Other (describe):  Painting ______ Other (describe): ______Estimated number of hours needed to complete job(s)

Please indicate a detailed description of the requested job(s).

I certify I am the owner, or have obtained approval from the owner, of the jobsite and approve the above requested projects. I understand this is only a job request, and all job requests must be reviewed and approved by the Bring It Back to Normal committee for requests to become official projects. The final steps of approving projects are site visits. I understand I will be contacted to set up a time for a site visit.

Signature: ______Date: ______

Please Initial Each Statement Bring It Back to Normal: Illinois State University’s Day of Service to Thank the Community Job Request Form April 5, 2014 from 10:00am – 1:00pm I understand that Bring it Back to Normal is a one day volunteer service project occurring on April 5, 2014. Bring it Back to Normal is expected to last no more than 3 hours, and due to these time constraints, the requested job may not be finished.

In case of rain or other inclement weather on the day of Bring it Back to Normal, I understand that the Bring It Back to Normal staff cannot guarantee the completion of the requested job and is unable to reschedule any jobs to a later date.

I understand that only the jobs listed on the Job Site Request Form will be completed.

I understand that the Bring It Back to Normal staff reserve all rights to terminate any task or job at any time for safety or risk management concerns.

I understand I have the right to terminate volunteer services at any point during Bring it Back to Normal and agree to call staff at 309.438.7346 to let them know of the cancelation.

I certify I am the owner or have obtained approval from the owner of the jobsite and approve the requested projects.

I certify that I have current homeowners insurance for this property or that I have verified there is current liability insurance for this property.

I understand that I am to be physically present to provide guidance and suggestions at all times while participants are present and performing the job. Project times are 10:00am – 1:00pm.

I will provide needed supplies and materials to complete the agreed upon projects on April 5, 2014.

I declare I have examined this document, and to the best of my knowledge and belief, the statements are true, correct, and complete.

Signature: ______Date: ______

Return completed job request form no later than March 7, 2014. Email completed forms to: [email protected] Mail completed forms to: Student and Community Outreach Unit Campus Box 3090 Normal, IL 61790-3090 Drop off completed forms to: Student & Community Outreach Unit, located on the 1st floor of the Bone Student Center, across from Einstein’s. (Mon-Thu 8am-5pm, Fri 8am-4:30pm)