Volunteer Information Form

 

 

 

  Volunteer Information
First Name:
Middle Initial: 
Last Name:
Street Address:
City, State, Zip:
Daytime phone:
Evening phone:
Cell phone:
Email Address:
I am over 18 years old:   Yes    No

  Volunteer Service Opportunities: (please check all areas in which you may interested )

 Board of Directors  Family Selection Prep/Deliver Volunteer Meals
 Building/Construction  Fund Raising Public Speaking
 Church Relations  House Dedications  Special Events
 Family Advocate  Office/Administration  
 

  Building Skills You Can Share: (please indicate skill level: 1 = Beginner, 2 = Skilled, 3 = Expert)

1 2 3   1 2 3   1 2 3  
 Carpentry  Flooring  Roofing
 Concrete Work  General Construction  Tiling  
 Design  Insulation  Vinyl Siding
 Drywall/Taping  Painting        
 Electrical  Plumbing        

 Construction Activity : (Generally Wednesdays & Saturdays)

 Please indicate the days and frequency you may be available for construction related volunteer opportunities:
    Days:  Wednesday  Saturday  Other (specify)            
    Frequency:  Weekly  Monthly   Occasionally (specify)  

  Volunteer Opportunities (Habitat's Recycling, Resale Store)

   (see the volunteer flier for more information on this volunteer opportunity)

   Box Truck Driver (pick up/delivery)

  Item Preparation   Customer Service
      (Must have clean NYS driver's license)    

  Activity: Please indicate days and times you would be available
   (The ReStore is open Thursdays & Fridays 10-5, and Saturdays 10-2)

    Thursday 10 am - 2 pm    Friday 10 am - 2 pm  Saturday 10 am - 2 pm
    Thursday 2 pm - 5 pm    Friday 2 pm - 5 pm  

  Affiliations:

 Faith-based organization:

 Employer/School/College:

 Service Organization(s):
 Experience (profession,
 hobbies, other Habitat
 affiliate association, etc.):

 


 
 

 

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