4078 Hwy 71 NW • PO Box 1171 • Willmar, MN 56201
Phone 320-231-2704 or 877-926-6434
Fax 320-231-0659
www.habitatwcm.org
VOLUNTEER INFORMATION SHEET
Name:__________________________________________________________________________________
Address: ________________________________________________________________________________
City: ___________________________________________________ State: ______ Zip: ________________
Phone (Home): _____________________
(Cell): _____________________(Work): _____________________
E-mail: _____________________________________
Emergency Contact: ____________________________________ Phone: _____________________________
Area(s) of Service (check all areas you are interested in):
____ Affiliate/Chapter Board
____
Food for Work Sites
____ Church Relations
____ Office Work—Mailings, Data Entry
____ Family Selection/Family Support ____ Special Events/Fundraisers
____ Home Building/Construction
Interest and/or Experience (circle “I” for areas interested in and “E” for areas experienced in):
I E Architecture
I E Concrete
I E Masonry
I E Art/Graphic Design
I E
Construction—General I
E Master Builder
I E Board/Chapter/Community
I E Demolition
I E Office
I E Carpentry—Finishing
I E Electrical
I E Painting
I E Carpentry—Framing
I E Excavation
I E People/Relationship
I E Clean-up
I
E Financial
I
E
Plumbing
I E Clerical
I
E HVAC
I E Other:
________________
I E Computers
I
E Landscaping ________________________
Availability:
____ Mon
____Tues
____Wed ____
Thurs ____
Fri ____ Sat
Location to Volunteer in:
____ Chippewa Co. ____ Kandiyohi
Co. ____ Meeker Co.
____ Renville Co. ____ Swift Co.
How did you hear about Habitat for Humanity of West Central Minnesota (check the ones which apply)?
___ Church ___ Internet ___
Mailing ___ Presentation ___ Word
of Mouth
Volunteers must be sixteen or older to work on the house
construction. Must be eighteen or older to participate in certain
construction activities.
Check one: Under sixteen ____
Sixteen to eighteen ____ Older than eighteen
____
Other comments: