Habitat York Region Volunteer Application

Personal Information
Date
Last Name
First Name
Mailing Address
(Street Address, Town, Postal
Code)
Home Phone
Cell Phone
E-mail
Emergen! Contat "n#ormation$
Name
Phone
" am %nder &' !ears( )es**** No*****
Date o# +irth (i# %nder &' !ears) D,M,) *****************
Signature of Parent or Guardian
**If under the age of 1! Parents or Guardians must sign this form
**All "olunteers must be accompanied b# an adult on the build site if the# are under 1 #ears of age$
Ho% did #ou hear about us&
''''''''''''''''''''''''''''''''''''''
(o #ou ha"e pre"ious e)perience "olunteering %ith Habitat for
Humanit#&
Please selet one( Loal "nternational
-hat did !o% do.
Reason for Volunteering
" want to gi/e 0a1 to m! omm%nit!(
" ha/e alwa!s wanted to /ol%nteer with Ha0itat #or H%manit! )or1
2egion(
" am om3leting omm%nit! ser/ie ho%rs #or$
High
Shool
Co%rt
4ther
HFH*5ol%nteer*A33liation*/&(6(do789:&; Page &
4ther reason$
"# !o% seleted <other reason=, 3lease e73lain$
Areas of Interest
" want to /ol%nteer on a 0%ild site(
" want to /ol%nteer at the 2eStore(
" want to /ol%nteer at s3eial e/ents(
" want to >oin one o# Ha0itat?s Committees$
F%nd De/elo3ment
Faith @ Comm%nit!
4%treah
Site Seletion
(Land AA%isition)
Famil! Seletion @
S%33ort
Comm%niations @
Mar1eting
+%ild De/elo3ment
" want to >oin the +oard o# Diretors(
A"ailabilit#
Please note that *uild Volunteer shifts start at +,-.am$
Monda
!
T%esda
!
-ednesda
!
Th%rsda! Frida! Sat%rda! S%nda!
(+%ild Site @
2eStore
losed)
Morning
B am C &
3m
A#ternoo
n
& 3m C D
3m
E/ening
D 3m C B
3m
Skills
Do !o% ha/e e73eriene 0%ilding homes.
Do !o% ha/e a erti#iate,liene in a
trade.
"# !es, 3lease list trades$
Do !o% ha/e retail e73eriene.
Please indiate i# !o% are a0le to 3artii3ate in the #ollowing ati/ities(
+ending Li#ting %3 to 9: l0s(
P%shing %3 to E:
l0s(
Clim0ing Ladder Li#ting %3 to 6: l0s(
P%lling %3 to E:
l0s(
HFH*5ol%nteer*A33liation*/&(E(do789:&; Page 9