Volunteer Registration Your DetailsName* First Last Birth DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderPlease SelectMaleFemaleOtherHome Address* Street Address Address Line 2 City Province ZIP / Postal Code Main Phone Number*Email Address* Have you previously volunteered for us before?*Please SelectYesNoWhat experience or specific skills do you have?Shirt SizeSmallMediumLargeX LargeXX LargeXXX Large(Based on men's generic shirt size)Medical & Emergency InformationIn the event an emergency should arise and I should need emergency medical treatment or hospitalization – permission is granted to the leaders of Habitat for Humanity Thunder Bay to grant authorization for necessary care.Emergency Contact Name* First Last Relationship to Volunteer*Emergency Contact Number*Do you have any medical/health issues we should be aware of?*Please SelectYesNoPlease Explain(i.e Medications, Food Allergies, etc.) We are an inclusive organization. Do you have any disabilities we need to take into consideration?*Please SelectYesNoPlease ExplainYour AvailabilityPlease check all that apply:Monday Only AM Only PM All Day Not Available Tuesday Only AM Only PM All Day Not Available Wednesday Only AM Only PM All Day Not Available Thursday Only AM Only PM All Day Not Available Friday Only AM Only PM All Day Not Available Saturday Only AM Only PM All Day Not Available When would you like to start volunteering? What date?What specific times in the day are you available to volunteer? Volunteering time between 9:00a.m. - 1:00p.m. Volunteering time between 1:00p.m. - 5:30p.m. VolunteeringCheck all the areas you are interested in volunteering: ReStore General Restore Crew Cashier/Customer Service Receiving/Inventory Salvage Crew Build Site Hospitality/Greeter General Build Crew House Build Supervisor Crew Leader General Helping out in the administration office Helping out at special events Serving on a Committee Serving on the Board of Directors What specific jobs do you prefer or enjoy? Cashiering Customer service Merchandising Cleaning and organizing Donation center assistance Driver for donation pick-ups build site (specific construction skills or other) Are you volunteering for High School community service hours?*Please SelectYesNoAre you volunteering for required community service hours?*Please SelectYesNoWhy do you want to volunteer at Habitat for Humanity?Do you have your First Aid Certification*Please SelectYesNo* - Valid first aid certification (i.e. Red Cross, St. John’s Ambulance, etc…) is an asset but is not a requirement of the volunteer.If yes, give details.I give Habitat for Humanity Thunder Bay permission to contact me CommentsAnything else you would like to share with us?CommentsThis field is for validation purposes and should be left unchanged. Charity Registration Number:13926 2182 RR 0001
