THANK YOU FOR YOUR WILLINGNESS TO HELP!!! VOLUNTEER
VOLUNTEER APPLICATION June 20-25, 2015 of Simpson County Name_________________________________________________________________________ Maiden Name:_______________ Last First Middle Initial Address____________________________________________ City_________________________ Zip Code___________________ Home Phone#___________________ Cell Phone#__________________ Email___________________________________ Birth Date ____/____/____ SS#______/______/_____ ____________________________________________________________________________________________________________ Volunteer Positions (No special skills required for any positions – except for first aid workers) CHECK ALL POSITIONS that you would be willing to be assigned – based on camp needs. Inside _____Camp Office (clerical duties, check in/out, answer phones, etc.) – several shift options during day/evening _____Food Service (serving and clean up at meal) – breakfast and lunch _____Evening chaperones - usually 7:00-10:00 PM (come early and eat dinner with us) _____Overnight sleepers/chaperones (9:45 PM-7:00 AM) – we need several each night _____First aid (some onsite needs, some on-call needs) – must have nurse or first aid training Outside _____Work Crew Assistant (assist Crew Chief in managing crew of 4-5 youth project workers from 7:00 am- 4:30 pm) _____Project Runners (deliver small supplies/tools to work sites as needed during day from 8:00 – 4:30) _____Work Crew Transportation (transport youth/volunteers to/from work sites – time flexible) Availability (For each day, please list time periods you would be available to work. Please be as specific as possible.) Saturday. 6/20( Begins at noon)_____________________ Sunday 6/21____________________Monday 6/22_____________________ Tuesday 6/23____________________Wednesday 6/24 ____________________ Thursday 6/25 __________________________ Comments that will help us understand your availability and flexibility to help with Camp Habitat: ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ Conditions of commitment: As a volunteer I agree to submit to a background crime check (at no charge to me), attend orientation and/or training, abide by all camp rules and Habitat for Humanity policies, honor my commitment to volunteer as scheduled & notify the proper person(s) when I can’t volunteer, abide by the rules of confidentiality, moral, and ethics policy. In addition, I give permission to Camp Habitat and/or Habitat for Humanity to publish any photographs and/or video that would be used for promotional purposes in but not limited to television, newspaper, brochures, magazines and internet. Signature_________________________________________________________ Date______________ Submission of Completed Application form – Choose just one option below: Complete and submit form online (www.habitatsimpson.org - click on Camp Habitat tab) o (This is our preferred method of receiving applications) Drop off at the Habitat for Humanity office at 822 N. Main Street, Franklin, KY 42134 Mail to Debbie Wyatt, 496 Hickory Flat Rapids Road, Franklin, KY 42134 For additional information visit www.habitatsimpson.org or call: Cendy Dodd (270 776-3687) Prentice Knight (270 622-3881) Debbie Wyatt (270 586-3410) THANK YOU FOR YOUR WILLINGNESS TO HELP!!! 3/29/15
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