Day Phone:______________________ Cell Phone:____________________________
Availability to work:
Sat. : 8 am -12 pm:__________
Sat. : 1 pm -5 pm :__________
Please indicate your commitment:
One time basis___________________
Important - Indicate tasks of interest by entering the experience code:
N = Little Experience, M = Moderate Experience, or P = Professional Experience.
You may indicate more than one task.
Check any of the following to indicate tasks you are willing to perform:
___Sandwich/drink preparation for workers
___Write articles for newspaper/publicity
___Gofer (able to drive to go for supplies, run errands, etc.)
I am over age 16 and am volunteering with the understanding that the construction leader (or his appointed team leader) is in charge of all project volunteer assignments at the Highland Rim Habitat for Humanity worksite. I understand that Highland Rim Habitat for Humanity is not responsible for accidents or injuries on the site. Your health insurance is primary with HRHFH insurance being secondary; HRHFH in compliance with Habitat International policy maintains liability insurance.
Signed: __________________________________________DATE: ____/_____/______
Please give this completed form to the construction leader when first reporting to the worksite or mail it to: HRHFH, PO Box 1295, Tullahoma, TN 37388