Volunteer Team Member Application
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Personal Information
First Name *
(As it appears on your passport)
Last Name *
I prefer to be called *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Address 1 *
Address 2
City *
State/Province *
Zip/Postal Code *
Country *
Address Type *
Home Phone (or primary phone) *
(###) ###-####
Cell Phone
(###) ###-####
Work Phone
(###) ###-####
Email Address *
If student, current college or school
Place of Worship (optional)
Current Employer *
Occupation *
Travel Information
Current Passport Number *
Date Passport Was Issued *
mm/dd/yyyy
MM
/
DD
/
YYYY
Date Passport Expires *
mm/dd/yyyy
MM
/
DD
/
YYYY
Issuing Country of Passport *
Which trip would you like to join? *
Please list either the trip number, if you know it, or the group name and trip dates.
T-shirt Size *
Construction Skill Level *
I also would like to help by offering my skills in (optional):
Emergency Contact *
First and last name of someone who is not going on the trip
Emergency Contact's Relation to You *
Emergency Contact's Email *
Best Phone Number to Reach Emergency Contact *
Time Zone of Emergency Contact *
What is the date of your last tetanus shot? *
MM
/
DD
/
YYYY
Primary Medical Insurance Carrier *
(e.g. Blue Cross Blue Shield, Kaiser, Humana, etc.)
Please list any allergies or dietary restrictions
Please list any medical/physical conditions to ensure you stay healthy and safe during your trip.
Volunteer Profile
If the Team Leader does not know you, please tell him/her a little bit about yourself.
Why would you like to go on this trip?
Please list any experience, skills, or abilities you have that would be beneficial on an international service trip.
(e.g. fluency in a foreign language, CPR certification, etc.)
How did you learn about Homes from the Heart? *
If the Team Leader does not know you, please list the names and phone numbers of two references that he/she can call.
Some examples of quality references would be: professors, teachers, supervisors, pastors, or other leaders.  Friends and relatives should not be used.
Permission to Share Information
I agree to allow Homes from the Heart to share my information with staff and relevant team leaders. *
Required
Volunteer Conduct Agreement
We know our volunteers arrive with an eagerness to work with us and to serve our community.  Being part of this project is a great opportunity for you to interact with the community, partner families, and neighbors.  In order to set a proper example for our community, and to help nurture our relationship with them, we ask that you uphold the following conduct agreement during your stay.  Failure to do so may result in you and/or your team being asked to leave.

•   Obey The Homes from the Heart Safety Policy
•   Follow the directions and/or instructions of Homes from the Heart staff    members
•   Do not use improper and/or threatening language of any kind.  This includes, but is not limited to, profanity, racial slurs, and sexually explicit or suggestive conversations.
•   Treat all neighbors, homeowners, partner families, volunteers, employees, and visitors to the site with respect and courtesy.
•   Discrimination of any kind will not be tolerated.
•   There will be no horseplay or roughhousing on site.
•   Keep the site and surrounding areas clean.
•   Alcohol or illegal drugs are not allowed on the worksite or in volunteer host facilities.  Drunkenness, use of drugs, and other illicit behavior will not be tolerated and may result in your team being asked to leave, immediately.
•   Leave every space, especially the host facility, in as good or better shape than you found it.
 
Following the Volunteer Conduct Agreement will help make your experience with Homes from the Heart as successful as possible.  We want to foster a supportive atmosphere for all our volunteers as you work together in the spirit of Christian partnership.  The Volunteer Conduct Agreement is meant to outline the behavior that is expected of you, and that you should expect from every other volunteer, during your time with us at Homes from the Heart.
I have read and agree to the Volunteer Conduct Agreement (listed above). *
Required
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