Rebuild Altadena
This form is intended to gather those who can help rebuild Altadena, share with us the ways in which you can help this community.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a Current resident of Altadena
Yes
No
If not a resident of Altadena, where do you currently reside?
M
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Skills and Services
From the list below what services can you offer to support the rebuild of Altadena?
Please Select
Clean up
Construction/ Labor
Carpentry
Landscaping
Legal Assistance
Financial Support
Childcare
Food Donation
Fundraising
Grant Writing
Community Outreach
Insurance Support
Are you affiliated with any local businesses, organizations, or nonprofits that can contribute to rebuilding Altadena?
What skills, services, or resources can you offer to assist in rebuilding Altadena?
Would you be willing to offer your services to residents of Altadena at a discounted rate?
Yes
No
If yes, what percentage of discount are you willing to offer?
Back
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Future Planning and Staying Connected
Do you have any other ideas or suggestions for how the community can work together to rebuild Altadena?
Would you like to be contacted for any opportunities to volunteer or community events?
Yes
No
Name
First Name
Last Name
Thank you!
We will be reaching out to you soon, if you need to contact us directly please email us at: servealtadena@gmail.com
Submit
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