Social Responsibilty

Introducing Clean for a Cause

Our ultimate goal at USC is to give back to others! To that end, we are launching a new program called Clean for a Cause. We provide complimentary cleaning services to families affected by childhood cancer. When a child is first diagnosed with cancer and throughout chemotherapy treatment a child is at high risk of infection, meaning that keeping the home free of germs is of the utmost importance. Uncle Sam’s Contractors wants to alleviate the stress of keeping a clean home so parents can focus on what really matters – supporting their child and being around loved ones. USC understands how an act of kindness can inspire hope.

Do you know a family that is affected by childhood cancer? Please fill out the form below to refer a family or friend!

We are always looking for volunteers to be apart of our Clean for a Cause program! Please fill out the form below to apply to become a volunteer!

Clean for a Cause Volunteer Form

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Why would you like to volunteer for Clean for a Cause?

Leia was diagnosed with childhood leukemia at the age of 4 and has been the inspiration for *Clean for a Cause*. Today Leia is cancer free and enjoys helping others effected by childhood cancer.

Clean for a Cause Referral Form

Please fill out the form below to nominate a family for our Clean for a Cause program.

*Please note that we are able to provide services to families in Hartford County or within 15 miles.

Parent Name

First Name

Last Name

Patient Name

First Name

Last Name

Patient Birth Date

MM

DD

YYYY

Patient Gender

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Info

Phone

(###)

###

####

Email

Diagnosis

Date of Diagnosis

MM

DD

YYYY

Diagnosis

Is patient undergoing active treatment?

Yes

No

Physician or Social Worker Name

First Name

Last Name

Treatment Center

Patient Interests/Likes

General Info

Preferred Day/Time for Cleanings

Please list any known allergies/sensitivities to cleaning chemicals:

E-Signature

Please type full name:

Date

MM

DD

YYYY