Volunteer for Habitat for Humanity of Mahoning Valley with VolunteerLocal

Birthdate *

A valid date as MM/DD/YYYY (for example: 11/30/2015)

First Name *

Last Name *

Mobile Phone *

For example, 123-456-7890

T-Shirt Size *

Address *

City *

State *

Zip Code *

Emergency Contact Name *

Emergency Contact Number *

Retired *

Employer (please type N/A if not applicable) *

Occupation (please type N/A if not applicable) *

Clubs/Organizational/Church Affiliations

School (if under 18) *(PLEASE TYPE N/A IF NOT APPLICABLE)* *

Grade (if under 18) *

Volunteer Interests
Demolition
Drywall
Electrical
Landscaping
Painting
Roofing
Loading/Unloading
Cleaning
Special Events
ReStore
Other

I further AGREE ______ DO NOT AGREE ______ to allow any photos taken of me at HFHMV events to be used for HFHMV purposes. *

I represent that I have medical insurance on my own with ____which will cover any and all injuries or medical conditions which must be treated in connection with any and all accidents related to working as a volunteer on a HFHMV project or in a ReStore.

Habitat for Humanity of Mahoning Valley

Habitat for Humanity of Mahoning Valley Volunteer Application

What's your email address?

Your information