2010 VOLUNTEER APPLICATION

Name:
Affiliation (church, business, social group, etc)
Mailing Address:
City:
Postal Code:
Home Phone:
Cell Phone:
Work Phone:
Email:
Please provide Habitat with an emergency contact:
Name:
Relationship:
Day Phone:
Please indicate which age group you belong to. Volunteers must be the age of 16 or over. 16-25 26-40 41-60 60+
Are there any health issues that Habitat should be aware of?	Yes  No
If yes please provide the nature of the issue
How did you learn about volunteering with Habitat?
A friend/acquaintance	Materials displayed in my community
At a Special Event (Name: )	Volunteer Centre/Employment Centre
Direct Mail/Email	Website (Site name: )
Family/Friends	Other:
Media (including messages on TV, radio, and newspaper)
Are you interested in volunteering at the home build site?	Yes  No
Are you interested in volunteering at the ReStore?	Yes
If yes, when are you available to volunteer in the ReStore? Sun Mon Tues Wed Thurs Fri Sat What experience do you have that will aid you in your position at the ReStore?
Are you interested in volunteering as an office admin assistant?	Yes
If yes, please email volunteer@habitatwellington.on.ca with a copy of your resume) When are you available to assist in the office? Sun Mon Tues Wed Thurs Fri Sat
Are you interested in volunteering on a committee?	Yes
If yes, which of the following Committee's are you interested in? Construction Family Selection Public Relations Faith Relations Finance/Treasurer Site Selection Family Support Fundraising Volunteer Relations For the committee(s) you selected please briefly explain any past experience or skills you have that would be beneficial to the committee(s).

PRIVACY POLICY Habitat for Humanity Wellington County respects your privacy. We protect your personal information and adhere to all legislative requirements with respect to privacy. We do not rent, sell or trade our mailing lists. We use your personal information to provide services and to keep you informed and up to date on the activities of Habitat for Humanity Wellington County, including programs, services, special events, funding needs, opportunities to volunteer or to give, open houses and more through periodic contacts from Habitat for Humanity Wellington County. If at any time you wish to be removed from any of these contacts simply contact us by phone at (519) 767-9752 or via e-mail at volunteer@habitatwellington.on.ca and we will gladly accommodate your request