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Habitat for Humanity of Mahoning Valley
Habitat for Humanity of Mahoning Valley Volunteer Application
Check your status here
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Your email address:
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Your information
Required fields are marked with an asterisk (*).
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 *
S
M
L
XL
XXL
3XL
Address *
City *
State *
Zip Code *
Emergency Contact Name *
Emergency Contact Number *
Retired *
Yes
No
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) *
9th grade
10th grade
11th grade
12th grade
N/A
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. *
AGREE
DO NOT AGREE
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.
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