Care Day Interest Form

HomeAid North Texas Care Day Interest Form

Most Care Days are one- or two-day events. HomeAid North Texas strives to provide these at no cost to our service provider partners, but that cannot be guaranteed. Costs will be figured out together ahead of time. To be considered, we must have all of the information requested below before the first meeting with leadership of both organizations.
Care Day
Section 1: Organization Information
Tax ID Number*
Organization Name*
Organization's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Organization Website*
Primary Contact*

First NameLast Name
Primary Contact Phone Number (Mobile Preferred)*
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Email*
example@example.com
Section 2. Who Do You Serve?
Organization's Mission Statement
Abused ChildrenAdults - Substance AbuseAdults w/AidsChildren/YouthChronic HomelessDevelopmentally DisabledDomestic ViolenceEmancipated YouthFamiliesHuman TraffickingKinshipMenOlder Adults/SeniorsPregnant Minors and their childrenReentry/Second ChanceSex Trafficking VictimsVeteransWomenWomen and ChildrenYoung Adults 18-22Youth with DiabilitiesOther
HousingOutreachCase ManagementAddiction RehabilitationMental Health ServicesHIV/AIDS-related programsEducationEmployment AssistanceChildcareTransportation AssistanceLegalLife SkillsOther
How many clients do you serve annually?
Government FundingGrantsCorporate DonorsIndividual DonorsSpecific FoundationsOther
Section 3: Our Needs
FoodClothingHygiene KitsDiapersNutrition KitsCold Weather/Survival KitsBackpacks/School SuppliesOther
Care Day
Requested Support Descriptions
- Interior Refresh: Painting, cleaning, or furniture assembly.
- Exterior Curb Appeal: Landscaping, mulch, and pressure washing.
- Operational Support: Sorting donations and assembling homeless, emergency, food or other kits.
- Minor "Lite" Build: Small carpentry (shelving, garden beds), repairs, etc.
Interior RefreshExterior Curb AppealOperational SupportMinor "Lite" BuildOther
Tell us specifically what needs to be done.
Care Day address, if different from organization address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section 4: Logistics & Capacity
1-1011-2526-5051+
Maximum Volunteer Capacity
We can provide water/snacksWe can provide breakfast or lunchWe have a dedicated 'break area' for volunteers
Section 5: Resources
YesNoPartial
YesNo
Thank you for your application!

We look forward to speaking with you soon. For questions or comments, contact HomeAid North Texas Executive Director Scott Sheppard at scott@homeaidnorthtexas.org or 817-944-8989
Should be Empty:

HomeAid North Texas Care Day Interest Form

Section 1: Organization Information

Section 2. Who Do You Serve?

Section 3: Our Needs

Care Day

Section 4: Logistics & Capacity

Section 5: Resources

Thank you for your application!