Volunteer Form

PLEASE NOTE: Volunteers under the age of 18 must have a parent or guardian's signature to volunteer, and therefore cannot use the online form. Please use the downloadable PDF version.

* indicates required field

Date Available/Scheduled to Volunteer:

*First Name:

*Home Phone:

*Last Name:

*Email:

*Street Address:

*City:

*State:

*Zip

Employer:

Occupation:

Work Phone:

I do not wish to be on HFHNV's mailing list

I am under 18 years of age

I have previously volunteered with HFHNV
Yes   No

I am volunteering...
as an individual
with a group
(please specify):

Note: This form is not for group registration. Group wishing to schedule a workday should contact the Volunteer Coordinator at 703-521-9890 x111

I would like to volunteer (please check ALL that apply):
On a construction site
In the ReStore
In the office
On a committee

Please indicate days available: Su M   T   W Th F Sa

I wish to make a donation to Habitat of Northern Virginia

I would like to be the HFHNV contact person for my place of:

Employment:
School:
Worship:
Other:

I am interested in serving on the following committee(s):
Full descriptions of committees
Breakfast Club
Business to Business
Construction
Faith Relations
Family Partner
Family Selection
Finance and Administration
Marketing and Communications
Nominating
Resource Development
ReStore Team
Site Selection
Volunteer Support Team

I have skills in the following areas that I am willing to volunteer:
Accounting/Finance
Architecture
Credit counseling/Reviewing credit
Data Entry
Engineering
Expediting permits
Graphic design
Marketing
Meeting/Event Planning
Real Estate
Retailing
Web design and maintenance
Construction Skills (please specify):
First Aid or Medical Training (please specify):
Language Skills (please specify):
Other (please specify):

I, on behalf of myself (and my minor child/children identified below) hereby acknowledge that I am fully aware that participation in volunteer work for Habitat for Humanity of Northern Virginia, Inc. ("Habitat") may include exposure to risks on the construction site, including, but not limited to, construction, loading and unloading, and transportation to and from the worksites, I do hereby expressly and specifically assume the risk of injury or harm and release Habitat from all liability for injury, illness, death, or property damage resulting from my activities with Habitat, whether caused by the negligence of Habitat or its officers, directors, employees, or agents or otherwise. Further, I acknowledge and represent that I have no knowledge or reason to know of any personal physical or mental limitations, conditions or other restrictions which would make any activities personally inadvisable (or inadvisable for my minor child/children).

I do hereby fully release and forever discharge Habitat and each of its directors, officers, employees, agents and representatives, of and from any and all actions, suits, controversies, liabilities, claims and demands, whatsoever in law or equity, which I (and/or any minor child/children) or my (or his/her/their) executors, administrators or heirs ever had, now has or may have in the future by reason of any matter, including, but not limited to, any cause of actions that might arise out of or in connection with my (or my minor child's/children's) participation in the activities of Habitat and specifically any injury or illness that I (or my minor child/children) may suffer. I expressly waive for myself (and my minor child/children) any claim for compensation on the part of Habitat beyond what may be offered freely by authorized representatives of Habitat in the event of any injury or medical expense incurred by me (or my minor child/children). I do hereby release and forever discharge Habitat from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with my activities with Habitat. I understand that, except as otherwise agreed to by Habitat in writing, Habitat does not maintain health, medical, or disability insurance for any volunteer.

On behalf of myself (and my minor child/children), I also convey all right, title and interest in any photographic images and video or audio recordings made by Habitat (or at the organization's direction) during my volunteer activities with Habitat.

* I agree to the terms of the Waiver of Liability as stated above.

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