First name

Last name

Birth Date

Please choose which ReStore you would like to Volunteer at

Home Phone Number

Other Phone Number (optional)

Email

Address

Postal Code

City

Province

Occupation or Student

If Unemployed or Retired please specify

Company or School

If Unemployed or Retired please specify

Do you have any allergies? (optional)

If any, please list them. This is for Volunteer Appreciation Days.

Emergency Contact Name

Emergency Contact Phone

Age Group (optional)

16-25

26-45

45-64

65+

Do you own CSA approved Steel Toed Boots (optional)

Yes

No

Do you have any medical or physical conditions you wish to disclose that you feel may affect your ability to volunteer? (optional)

Availability (optional)

Please select any that apply

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Availability (optional)

Please select any that apply

Anytime

Mornings

Afternoons

Availability Other (optional)

Please specify any other availabilities that are not covered above

I hereby authorize Habitat for Humanity to use photographs or other images in which I appear while volunteering for HFHSEBC

Your photo may be taken, or you may be included in a group photo, during activities at Habitat for Humanity. Please indicate your consent below for Habitat to use your photo in advertising or social media posts.

ReStore Volunteer Application Form

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