Applications are considered incomplete until all applicable documentation is submitted

I certify that the facts set forth in this application are true and complete. I understand that I may be declined or removed from the program if the information provided is later determined to be untrue. I understand that GCHFH is verifying my credit record and screening all household members on the sex offender registry. I further understand that by completing this application, I am submitting myself and any household member over 18 years of age. I realize I have the right to dispute the information reported.

I agree to all the above and sign this of my own free will.

Photographic Release: I do hereby grant and convey unto Habitat all right, title, and interest in any and all photographicimages and video, audio, and electrical recordings made by Habitat during my Activities with Habitat, including but notlimited to, the right to use such materials for any purpose and the right to any royalties, proceeds or other benefitsderived from them. I understand that I will not have any ownership interest in or to such photographs, images and/orrecordings, I have not been provided or promised any compensation, and I hereby waive any rights, privileges or claimsbased on any right, of publicity, ownership or any other rights arising, relating to or resulting from the photographs,images and/or recordings. I understand and agree that this paragraph also applies to my minor children who arevolunteering