Wufoo
CWHFH Volunteer Sign-Up Form
Includes the Construction Crew Volunteer Information and Waiver of Liability Form.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Email
*
Phone Number
*
###
-
###
-
####
I will support our Habitat for Humanity project by doing the following:
*
I will pray for our congregation, for the homeowner family, and for Habitat for Humanity.
I will prepare a lunch or snack for the construction workers.
I will pick up or deliver food to the worksite.
I will work on publicity.
I will make phone calls and/or send out reminders.
I will be a fundraiser (work on fundraising projects).
I will work with the affiliate to provide support services to the family.
I will be a "gopher" and pick up / deliver people and materials.
I will help build the Habitat house.
I will be responsible for a short morning devotional at the worksite.
I will provide child care so a parent can work on the house.
I will be a first aid volunteer at the worksite.
I will help plant flowers and shrubbery.
I will help clean up the worksite and keep it neat / safe.
I am not afraid to work at heights (20' or higher on ladders, scaffolding, etc).
I am a person under 18 years of age and I would like to help too.
Evaluate the following statements.
*
Highly Skilled Professional
Semi-Skilled
Unskilled but Will Learn
Unskilled and Not Interest
Roofing
1
2
3
4
Siding
1
2
3
4
Framing
1
2
3
4
Drywall Hanging
1
2
3
4
Drywall Finishing
1
2
3
4
Painting
1
2
3
4
Trim Carpentry
1
2
3
4
Electrical
1
2
3
4
Plumbing
1
2
3
4
Carpet Installation
1
2
3
4
Heating
1
2
3
4
Masonry
1
2
3
4
Concrete
1
2
3
4
Misc. Labor
1
2
3
4
I prefer to work on the construction site on the following days (check all that apply):
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Waiver of Liability
To be read and signed by all persons intending to do volunteer work for Central Westmoreland Habitat for Humanity, or by a parent or legal guardian of volunteers under the age of 18.
I understand that CWHFH and Habitat For Humanity, Inc. cannot be held liable for any injury or illness that I or my dependent(s) may suffer I expressly waive any such claim far compensation or liability on the part of CWHFH or Habitat for Humanity, Inc . beyond what may be offered freely by the representative of either of these organizations in the event of such injury or medical expense
Signature (by typing your name here, you are officially signing this document) and Date
*
Names of dependent(s) less than 18 years of age and covered by this waiver:
*
Name and phone of emergency contact:
*
Do Not Fill This Out