Habitat for Humanity of Mahoning Valley
Habitat for Humanity of Mahoning Valley Volunteer Application
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Your email address:
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Required fields are marked with an asterisk (*).
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 *
Zip Code *
Emergency Contact Name *
Emergency Contact Number *
Employer (please type N/A if not applicable) *
Occupation (please type N/A if not applicable) *
School (if under 18) *(PLEASE TYPE N/A IF NOT APPLICABLE)* *
Grade (if under 18) *
I further AGREE ______ DO NOT AGREE ______ to allow any photos taken of me at HFHMV events to be used for HFHMV purposes. *
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.