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