VVHFH Volunteer Form

Who introduced you to Verde Valley Habitat?
Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Email*
example@example.com
Birthdate*

MonthDayYear
Date
Employer
Occupation
Spouse/Partner Name

First NameLast Name
Please list any medical conditions that could affect your volunteer assignment*
Is this community restitution?*

YesNo
If yes, which court?
P.O. Office Name
A copy of your court documents is required with your community service volunteer application
What would you like to volunteer to do?*

Construction and Critical Home RepairReStoreAdministrativeCommittee
Days that you are available to volunteer*

MondayTuesdayWednesdayThursdayFridaySaturday
Today's Date*

MonthDayYear
Date
I understand that Habitat for Humanity screens all volunteers the National sex offender registry and public access case lookups for criminal history. By signing this form, I am submitting myself to such an inquiry. (Verde Valley Habitat for Humanity uses a point system to rank the level of risk an individual poses for a particular position or duty before determining eligibility.)
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