Cape Fear Habitat for Humanity
Volunteer Application
1208 S. 3rd Street
Wilmington, NC 28401 Phone: (910) 762-4744 Fax: (910) 762-0734
Please take a few moments to fill out this application and either mail or fax a copy to our office (address and fax number are printed above).
Name ___________________________________________________ Date __________________________
Address _________________________________________________ Home Phone ____________________________
City ______________________________ State _____ Zip _________ Work Phone ____________________________
E-Mail ___________________________ Emergency Contact (name & phone #) ______________________________
Date of Birth (If under 18) ________________ (All minors must have a Release form completed by their legal guardian)
(Due to federal OSHA regulations, children under age 16 are subject to limited activities on the construction site. Absolutely no one under age 14 is allowed to volunteer on the Construction Site or in our Home Store.)
Volunteer Opportunities
Family Selection Family Support Church Relations
Fund Raising Site Selection Construction
Please circle below, any days that you would like to volunteer.
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
Due
to the physical nature of volunteer work, please
list below any limiting medical conditions.