WILD RIVERS HABITAT FOR HUMANITY
VOLUNTEER INTEREST FORM

 

NAME_________________________________________________
TODAY'S DATE______________________
( PLEASE PRINT) (LAST) (FIRST)

HOME ADDRESS_____________________________________________
CITY__________________________STATE ________________ ZIP ____
HOME PHONE ____________________________________
WORK PHONE_____________________________
CELL PHONE____________________________________

EMAIL ADDRESS__________________________________________

BEST WAY TO CONTACT YOU: PHONE (work or home) EMAIL MAIL OTHER

HAVE YOU ATTENDED A VOLUNTEER ORIENTATION AT HABITAT
FOR HUMANITY?___________

HABITAT STANDING COMMITTEE OPPORTUNITIES/SPECIAL EVENTS:
* SEE ATTACHED SHEET FOR EXPLANATION OF EACH COMMITTEE
(PLEASE CHECK THOSE COMMITTEES YOU WOULD BE INTERESTED IN)

___ Family Selection ___ Family Partnership ___ Fund Development

___ Hospitality ___ Church Relations ___ Youth Development

OTHER WAYS TO GET INVOLVED/NON-CONSTRUCTION:

1. WOULD YOU BE WILLING TO SERVE AS SITE SUPPORT ON LOCAL
WORKSITES? (SEE ATTACHED SHEET FOR EXPLANATION OF THIS):
YES NO (CIRCLE ONE)

2. WOULD YOU, YOUR FAMILY, CHURCH GROUP, OR SERVICE GROUP BE
WILLING TO PROVIDE A MEAL FOR A WORK CREW OF APPROXIMATELY
10-20 PEOPLE? YES NO (CIRCLE ONE)

IF YES, HOW OFTEN:___________________________ DO YOU PREFER
SATURDAYS OR TUESDAYS? (circle one)

3. CAN WE CONTACT YOU ABOUT HELPING WITH ONE-TIME SPECIAL
EVENTS? YES NO (Circle One)

CONSTRUCTION LEADERSHIP POSITIONS:

Crew Leaders: Would you be willing to serve as a crew leader on one of our local
worksites? This would involve overseeing a group of volunteers in a specific area
or task of home construction. YES NO (Circle one)
(PLEASE CHOOSE A 3 SKILL LEVEL FOR TASKS BELOW YOU WOULD
FEEL COMFORTABLE LEADING)

SKILLS YOU WOULD LIKE TO SHARE WITH HABITAT:
(CIRCLE 1, 2 OR 3)
1- Helper (Willing to learn) 2 - Skilled (Have assisted or done at home)
3 - Professional (Employed as or can perform without supervision)

1 2 3 Lot Maintenance
1 2 3 Drafting/Design
1 2 3 Capping Foundation
1 2 3 Building Stairs
1 2 3 Building Walls
1 2 3 Framing
1 2 3 Roofing
1 2 3 Vinyl Siding
1 2 3 Insulation Work
1 2 3 Hanging Drywall
1 2 3 Painting
1 2 3 Floor Underlayment
1 2 3 Hang Windows/Doors
1 2 3 Install Doors/Locks
1 2 3 Finish Work
1 2 3 Install Cabinets
1 2 3 Landscaping
1 2 3 Electrical
1 2 3 Plumbing
1 2 3 Heating/Cooling
1 2 3 Carpet/Flooring
1 2 3 Mailings
1 2 3 Public Speaking
1 2 3 Delivery/Pick-up
1 2 3 Booths/Displays
1 2 3 Office Work
1 2 3 Fund Raising
1 2 3 Christmas Wrapping

In general, when are you available to volunteer?
___Weekly ___ Monthly ___Quarterly ___ Occasionally

___ Mon. ___ Tues. ___ Wed. ___ Thurs. ___Fri. ___ Sat. ___ Sun. ___
Mornings ___ Afternoons

CHURCH AFFILIATION:
(OPTIONAL)
Name of Congregation _________________________________________

I would be willing to be a liaison for my congregation. ___ YES ___ NO

BUSINESS/SERVICE AFFILIATION:
(OPTIONAL)
Place of Employment ___________________________________________

I would like to get a group from work or service group involved in a workday.
___ YES ___ NO

SERVICE ORGANIZATIONS:
(OPTIONAL)
___ Lions Club ___ Jaycees ___ Kiwanis Club ___ Knights of Columbus

___ Rotary Club ___ Shrine Club Other ___________________

PLEASE LIST ANY PREVIOUS WORK EXPERIENCE YOU HAVE HAD WITH
HABITAT FOR HUMANITY:

___________________________________________________________

___________________________________________________________

PLEASE LIST ANY SPECIFIC WAYS THAT YOU WOULD LIKE TO HELP
THAT ARE NOT ALREADY LISTED:

___________________________________________________________

__________________________________________________________

PLEASE CHECK ANY SPECIFIC PROGRAMS THAT YOU WOULD LIKE
MORE INFORMATION ABOUT:

_____ Women Build Project _____ Youth Programs
______ RSVP Program for Retired and Senior Volunteers

_____ Partner Church Program _____ Aluminum Can Program