Sign Up Form | Habitat ReStore LBPC

YOU CAN MAKE A DIFFERENCE

Change the lives of families in our community. Support affordable housing that will help families achieve strength, stability, and the self-reliance they need to build better lives for themselves.

Date

Date of birth

If you belong to a church, which one?

Name and City

Tell us about your previous volunteer experiences:

Do you have work or other experiences that you may be able to apply to Habitat?

Other:

Let us know what works best for you.

When are you available?

Select all that apply:

Comments on availability:

Let us know what works best for you.

How did you hear about us?

Help us match you to your interests.

What would you like to volunteer to do?

Construction on builds or repair projects

Other volunteer ideas:

Personal References

Please list two (2) individuals we may contact who have known you at least two (2) years and are not related to you.

Signature

By signing this form, I give Habitat for Humanity of LaSalle, Bureau and Putnam Counties permission to contact references and check the National Sex Offender Registry as required by Habitat for Humanity International. Signature of Parent or Guardian required if under 18: *If using an electronic copy of this form, typing your full name on the line below qualifies as your signature.

Date