Habitat Volunteer Program
Serving Alcona, Alpena, Montmorency, Oscoda, and Presque Isle Counties
2630 US 23 S., Alpena, MI 49707~ Phone: (989) 354-5555
Dear Applicant,
Do you feel a calling to volunteer with Habitat for Humanity? We have many chances throughout the year
where we need the helping hands of individuals and groups. From ABWK (A Brush With Kindness), Critical
Home Repair projects and house builds, to ReStore workers and committee positions, we have so many great
opportunities for you to get involved. If you have the desire to work and learn on a construction site, we want
you! If you want to help keep usable building materials, appliances, and furniture from going into landfills, we
have ReStore Volunteer positions available! If you would like to help from within to keep the "business" of
Habitat going, we have posts open!
* Construction Site Workers (skilled or novice)
* Volunteer Sub-Contractors
* ReStore Sorters, and Sales "Associates"
* Committee/Board Membership
* Lunch Providers
* Grant Writing
* Fundraising Opportunities
"Everybody can be great because anybody can serve. You don't have to have a college degree to serve. You only need a heart
full of grace. A soul generated by love. And you can be that servant."
-Martin Luther King Jr.
Habitat for Humanity Northeast Michigan
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Volunteer Application
CONFIDENTIAL
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile no.
Format: (000) 000-0000.
Alternate no.
Format: (000) 000-0000.
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Occupation
Employer
Which general categories are you most interested in volunteering? Check all that apply.
New Construction
Restore
Community Engagement
Home Repair
Campus Engagement AHS / ACC
Love Your Neighbor/Brush With Kindness Projects
Office
What qualifications, skills, or experiences do you have that you would like to use as a volunteer? Check all that apply.
Demolition/Clean Up
Heating/Cooling
Advocacy/Education
Dry Wall
Landscaping/Lawn Care
Event Support
Electrical
Material or Equipment Supplier
Fun (d) raising
Flooring
Plumbing
IT Support/Technology
Foundations
Roofing
Marketing/Graphic Design
Framing
Trim/Paint
Clerical/Data Entry
Cleaning/Janitorial
Donation Intake
Providing Meals/Snacks
Customer Service
Organizer
DIY Restoration Projects
Delivery Driver
Sales Associate
Which months are you available to volunteer? Check all that apply.
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January
February
March
April
May
June
July
August
September
October
November
December
How many hours per week would you be available for volunteer work?
Which days are you available to volunteer? Check all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please list any previous volunteer experience:
Rows
Organization
Volunteer Activity
1
2
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4
Background
Have you ever been convicted of a felony?
Yes
No
If yes, please explain:
I have answered all the questions to the best of my ability.
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Signature
Date
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Month
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Day
Year
Date
If under 18 years of age, parent/guardian signature on behalf of the above minor.
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Signature
Date
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Month
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Day
Year
Date
Updated: 04/2024
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Waiver
This Release and Waiver of Liability (the “Release”) is executed on this _____ day of _______________, 20___, by __________________________, (the “Volunteer”), in favor of Habitat for Humanity Northeast Michigan, Habitat for Humanity International, Inc., and any other Habitat for Humanity affiliated organization and their respective directors, officers, trustees, employees, volunteers and agents (collectively, the “Released Parties”).I, the Volunteer, desire to work as a volunteer for one or more of the Released Parties and engage in the activities related to being a volunteer. I understand that my Activities may include but are not limited to the following: working in Habitat for Humanity offices or Habitat for Humanity ReStore operations; traveling to and from work sites, towns, cities or countries; consuming food available or provided; living in housing provided for volunteers; constructing and rehabilitating residential buildings; and other construction-related activities.I, the Volunteer, hereby freely, voluntarily and without duress execute this Release under the following terms:Release and Waiver. I, the Volunteer, do hereby release and forever discharge and hold harmless the Released Parties and their successors and assigns from any and all liability, claims and demands which I or my heirs, assigns, next of kin or legal representatives may have or which may hereinafter accrue with respect to any bodily injury, personal injury, illness, death or property damage which arise or may hereafter arise from or is in any way related to my Activities with any of the Released Parties, whether caused wholly or in part by the simple negligence, fault or other misconduct, other than intentional or grossly negligent conduct, of any of the Released Parties or of other volunteers.I understand and acknowledge that by this Release I knowingly assume the risk of injury, harm and loss associated with the Activities. I alsounderstand that the Released Parties do not assume any responsibility for or obligation to provide financial assistance or other assistance,including but not limited to medical, health or disability insurance in the event of injury, illness, death or property damage.It is the policy of Habitat for Humanity that children under the age of 16 are not allowed on Habitat for Humanity worksites while construction is in progress. It is further the policy of Habitat for Humanity that, while minors between the ages of 16 and 18 may be allowed to participate in construction work, using power tools, excavation, demolition, working on rooftops and similar activities are not permitted for anyone under the age of 18. Medical Treatment. I, the Volunteer, do hereby release and forever discharge the Released Parties from any claim or action whatsoever which arises or may hereafter arise on account of any first aid, treatment or service rendered in connection with my Activities with any of the Released Parties.If the Volunteer is less than 18 years of age, the Volunteer and the parents having legal custody and/or the legal guardians of the Volunteer (the “Guardians”) also hereby release and forever discharge the Released Parties from any claim whatsoever which arises or may hereafter arise on account of the decision by any representative or agent of the Released Parties to exercise the power to consent to medical or dental treatment as such power may be granted and authorized in a Parental Authorization for Treatment of a Minor Child.Assumption of the Risk. I, the Volunteer, understand that my Activities may include work that may be hazardous to me, including, but notlimited to, the following: construction; loading and unloading; travel to and from the work sites; and exposure to lead, asbestos, and mold, which may cause or worsen certain illnesses, especially if I do not wear protective equipment, am exposed for extended periods of time, or have a pre-existing immune system deficiency.I also understand there is some inherent risk in consuming local foods and living in local accommodations in the city(ies) or country(ies)visited. I further understand I may be traveling to and from locations where there is a risk of terrorism, war, insurrection, criminal activities,inclement weather or other circumstances that could threaten my health or safety. I also understand that it is the policy of the ReleasedParties to not pay ransom or make any other payments to secure the release of hostages.I hereby expressly and specifically assume the risk of injury or harm in the Activities and release the Released Parties from all liability for anyloss, cost, expense, injury, illness, death or property damage resulting directly or indirectly from the Activities. Insurance. I, the Volunteer, understand that, except as otherwise agreed to by the Released Parties in writing, the Released Parties are under no obligation to provide, carry or maintain health, medical, travel, disability or other insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own health, medical, travel, disability or other insurance coverage.Photographic Release. I, the Volunteer, do hereby grant and convey unto Habitat for Humanity International, Inc., all right, title and interest in any and all photographs and video or audio recordings of or including my image or voice, made by any of the Released Parties during my Activities with the Released Parties, including, but not limited to, the right to use such photographs or recordings for any purpose and to any royalties, proceeds or other benefits derived from them.Other. I, the Volunteer, expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the state where the Activities take place. I further agree that in the event any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release does not prevent the exercise of any other right. To express my understanding of and agreement with this Release, I sign here with a witness.
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General Authorization
I hereby authorize Habitat for Humanity Northeast Michigan to obtain informationas deemed necessary to facilitate my association with HFHNEMI. This informationmay include criminal background checks with local, state, and federal police orother law enforcement agencies, motor vehicle records, credit check, verification ofemployment and references as provided by myself to HFHNEMI, and any otherinformation as may be needed to process my application.This information is required by Habitat International and obtained for theconfidential use of Habitat for Humanity Northeast Michigan, and will not be sharedwith any other agency.A photocopy or facsimile of this authorization may be deemed to be the equivalentof the original and may be used in place of the original. The original signed formwill be maintained by Habitat for Humanity Northeast Michigan.
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