VOLUNTEER APPLICATION

Director of Volunteers, Brandon Taylor Charpied   brandon@habitatmb.org

        Orientation Confirmation #:   Please review online Volunteer Orientation before submitting an application.

        Name:                          Court-Ordered (PTI/DJJ) Community Service? Check box, if YES.

Mailing Address1

Emergency Contact:

 

  
Mailing Address2

Emergency Phone:

 

  
City:    

 

  

State:

      Zip: Cell:

E-mail

 Home Phone:    
Age/YEAR of birth
 		 Volunteer must be at least 16 years old      
Employer
Employer Address Employer Phone:    
Does your employer have a matching grant program for donations and/or volunteer hours?   Many do; so please ask & help support HFHHC. Thank you!
What days are you available to volunteer?
What time of day works best for you?

What are your interests?  (Please check all that apply)

 [ Mouse Over ? for Description ]
? Construction ? Fundraising
? Construction Crew Leader ? Recycling
? Office ? Cleaning
? Resale Store ? Partner to Habitat Family
? Provide Lunches ? Special Events
? Media Assistant ? Committees 

Please indicate your affiliation, if applicable:
Church Affiliation
   
Community Affiliation
   
School Affiliation
   
Habitat (are you related in any way to a Habitat homeowner or employee?)      

 

  
If yes, explain  
Please tell us about your skills, talents, experience, or interests:

Yes, I would like to receive the HFHHC newsletter by email.

 Thank you!
Personal Data Changes
 It is important for you to notify the office of any changes in personal data
-- mailing address, telephone number, e-mail address, emergency contact name and number --
Please keep these accurate at all times.

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