Volunteer Application Form Step 1 of 5 20% Name* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Occupation Company/Organization Name Community Organization T-Shirt Size*SMLXL2X3X Have you previously volunteered with Habitat for Humanity?* Yes No If you have previously volunteered with us, please list your experience:Are you completing mandatory community involvement hours for your Ontario Secondary School Diploma?* Yes No If yes, how many hours?*Are you completing probation or court appointed hours?* Yes No If yes, how many hours?Probation Officer Name AvailabilityPlease write the hours you are available each day in the box (e.g. morning, afternoon, evening, 4-6 p.m., anytime after 2 p.m., etc.). If unavailable, please write N/A.Monday* Tuesday* Wednesday* Thursday* Friday* Saturday* Areas of InterestPlease select which of the following volunteer areas are of interest. Build Site General Labour Trades Crew Leader Cleaning Committees Board of Directors ReStore Fundraising Family Services Build Finance Governance Human Resources ReStore Inventory and Pricing Pickups and Deliveries Donation Testing & Repairs Customer Service Cleaning Display & Merchandising Administrative Support E-Commerce Social Media Office Administrative Support Volunteer Coordination Social Media Other Special Events Ticket Selling Grant Research Training/Skill Sharing Areas of InterestPlease select any specific skills that you possess or have experience in:Business/Administrative Filing Fundraising Program Management Customer Service Volunteer Coordination Finance/Accounting Grant Writing Real Estate Product Procurement Arts/Culture Acting Art Performance Art Photography Photo Editing Reupholstering Refurbishing Music Communications/Marketing Graphic Design Public Speaking Video Production Public Relations Writing/Editing Website Maintenance Social Media Newsletter Creation Legal Services Advocacy Insurance Claims Legal Aid Adjudication Tribunals Real Estate Law Mediation Family Services Counselling Mentoring Social Work Teaching Psychology Sociology Community Development Housing Services Special Event Support Interior Decorating Event Planning Food Preparation Emceeing DJing Auctioneering Ticket Selling Please note any other skills you possess or have experience in, or add notes regarding the skills mentioned above:Notes, questions, or concerns: Medical and Emergency InformationIn the event an emergency should arise and I should need emergency medical treatment or hospitalization permission is granted to the leaders of HFHSSMA to grant authorization for necessary care. Please fill in below information as detailed as possible:List of any known allergies (i.e. plants, medications, insect bites, etc…)Do you have any medical and/or physical information/disabilities you wish to be taken into consideration or that you feel may affect your ability to perform as a volunteer?Emergency Contact PersonName* Relationship to Volunteer* Telephone Number* Mobile Number Work Number How did you hear about this volunteer opportunity?
