House Captain Form Name * First Name Last Name Address Phone (###) ### #### Email * Preference for Area in Prince George’s County: Southern Northern Central Preference for house type: Leight Medium Heavy Your home repair skill level: Unskilled (Light House) Semi-Skilled (Medium House) Highly Skilled (Heavy House) How many people will you be bringing? From which organization? I wish to have assigned volunteers from: Additional Information/Comments: If you know of any other individuals who might be interested in volunteering as a House Captain, please complete the following: Name First Name Last Name Address Phone (###) ### #### Name First Name Last Name Address Phone (###) ### #### Thank you!