Registration Form

Registration Form

If you are interested in volunteering, please fill out this form and click on 'SUBMIT VOLUNTEER FORM' button below. This form will enable us to record your preferences and availability.

*First Name:
*Last Name:
*Address:
*City, State Zip:
*Email Address:
Work Phone:
Home Phone:
Cell Phone:
Occupation:
Business &/or Church Affiliation:

Would you like to subscribe to our email list?

No thanks.

Yes, please subscribe me.

*Emergency Contact Name:
*Emergency Contact Phone:
Birthday (Month/Day):

Languages Spoken:

English

Spanish

*Days Available:
*Hours Available:

To help make your volunteer experience with Habitat beneficial, please indicate your level of interest/skill in the following catagories. Thank You!
Are you a licensed contractor?
Electrical:
HVAC:
Drywall:
Plumbing:
Finish Carpentry:
Roofing:
Framing:
Concrete:
Landscaping:
Building permits, obtaining, compliance:
Painting:
Legal:
General Office Work:
Computer Skills, Windows OS, database entry:

Quarterly Mailings:
Fund Raising:
Event Planning:
Grant Writing:
Volunteer Organization:
Finance, accounting:
Family Selection:
Public & Media Relations:
Church/Faith Relations:
Event Photography:
Cooking/baking for volunteer groups:
Other Interests:
Do you have any other questions/comments?
NOTICE
Building construction is a dangerous occupation. Even many professionals are injured. Workers compensation rates for paid construction workers are among the highest rates.

As a volunteer, you are NOT covered by Workers Compensation Insurance. We ask that all volunteers accept full responsibility for their own safety.

WAIVER OF LIABILITY
Must be read and signed by ALL persons intending to do volunteer work for Habitat for Humanity - Gila Region.

I understand that Habitat fro Humanity - Gila Region (HFHGR) cannot be liable for any injuries or illness that I or my dependent(s) may suffer.

I expressly waive any such claim for compensation for liability on the part of HFHGR beyond what may be freely offered by the representative of HFHGR in the event of any injury or medical expense.