Repair Program – Habitat for Humanity Corpus Christi, Inc.

Name *

Date of Birth *

Phone *

Contact E-mail: *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Are you volunteering for court-ordered community service hours? *

Yes
No

Affiliation (group, company, organization you're volunteering with) *

If you would like us to tag you in social media posts, please leave your handles below:

Facebook

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SKILLS AND INTERESTS.

Please indicate your skill level for each of the sections below:

Construction *

ReStore *

Please describe any special skill or expertise here: *

Please list days and times you are available to volunteer: *

ELECTRONIC COMMUNICATION

ELECTRONIC COMMUNICATION: To help provide timely service, and to conserve paper waste, we have implemented an electronic communication consent policy. All information provided will be kept confidential and guarded against unofficial use. By consenting to our electronic communication policy, HFHCC can provide services to you via phone calls, text messages, email, and any other form of electronic communication method to deliver program services. It is your responsibility to provide us with current and up-to-date contact information. You may withdraw your consent to receive electronic communication from HFHCC by contacting info@habitatcorpus.org. HFHCC reserves the right to discontinue the provision of electronic communication in our sole discretion. You will be provided with notification if termination of electronic communication occurs, as required by law. *

I DO consent
I DO NOT consent

DISCLOSURE REGARDING BACKGROUND and SEX OFFENDER INVESTIGATION

DISCLOSURE REGARDING BACKGROUND and SEX OFFENDER INVESTIGATION: Habitat for Humanity Corpus Christi, Inc. will obtain a criminal background and sex offender report about you. This report is a screening that may contain information regarding your criminal history and other information about you. It may bear upon your character, general reputation, and/or personal characteristics. These checks will be conducted prior to any volunteer work. *

I UNDERSTAND

Habitat for Humanity Volunteer Code of Conduct:

Becoming a Habitat volunteer comes with great rewards and great responsibilities. Volunteers like you are representatives of Habitat for Humanity and its ministry. When you accept a volunteer role with Habitat for Humanity, you are committing to act in a way that promotes Habitat’s mission, respects the local community, and ensures the safety of all participants.

In addition to complying with all laws, regulations and Habitat for Humanity policies, all volunteers are expected to follow the volunteer code of conduct outlined below:

Promote a respectful community: Treat all volunteers, employees and community members with respect, courtesy, and dignity. This includes avoiding the use of humiliating, demeaning, offensive, or otherwise insensitive language that fails to respect the dignity of the person. Volunteers are also expected to refrain from engaging in intimidation, physical, sexual, and/or emotional violence toward others. Help promote a welcoming, respectful environment by making efforts to understand and honor the local culture and by following all rules and policies set forth by a Habitat program staff member or supervising volunteer. Use of social media should be governed by the principles of respecting and protecting vulnerable populations while preserving their dignity and privacy. You are discouraged from posting anything on social media that permits beneficiaries from being identified and/or traced.
Respect the human rights of all people and protect beneficiaries and community members from exploitation and abuse. All Habitat volunteers must model behavior consistent with the Habitat for Humanity International Safeguarding Policy which protects staff, beneficiaries, and community members (especially vulnerable adults and children) from exploitation and abuse. Inappropriate physical or sexual relationships with other volunteers are prohibited. Under no circumstances may volunteers engage in sexual activity with a child (a person under the age of 18, regardless of the legal age of consent and local laws), any Habitat staff or beneficiaries, or any community members. This includes not procuring commercial sex acts, even where such activities are permitted by local laws.
Prioritize site safety: Safety rules and guidelines on the volunteer site have been created to keep you and others safe as you volunteer and must be followed. Activities that pose a safety risk to yourself or others should be avoided. Report any unsafe working conditions to the onsite supervisor.
Uphold a zero-tolerance policy for alcohol, drugs and weapons: The purchase or possession of drugs or weapons is strictly prohibited on Habitat for Humanity property and volunteer sites. The purchase or possession of alcohol is also strictly prohibited on Habitat for Humanity volunteer sites, even if permitted by local laws or by the laws of the volunteer’s home country. 5. Follow the gift giving policy: To avoid potential misunderstandings, embarrassment, injured feelings or jealousy, volunteers are asked not to exchange gifts with Habitat beneficiaries, staff members or community members without consulting Habitat staff. Volunteers may speak with a staff member about appropriate ways to exchange gifts and our staff is happy to suggest gifts that will benefit the entire community.
Protect ministry assets: Use reasonable care to protect all Habitat for Humanity resources. Stealing, misappropriation or diversion of Habitat for Humanity funds, property, or other assets for personal benefit is not permitted, nor is otherwise engaging in fraudulent activity regarding Habitat for Humanity’s assets, operations, or beneficiaries.
Maintain confidentiality: Build trust with other volunteers and Habitat for Humanity by respecting the confidentiality of volunteers, staff, Habitat beneficiaries, and community members. Unless you receive prior written approval from HFHI, you will not disclose confidential HFHI information or confidential information given to you by others.
Speak up! Habitat for Humanity embraces a “see something, say something” culture. If you become aware of potential misconduct, help reinforce our culture of courage and accountability by sharing your concerns with an appropriate Habitat staff or supervising volunteer. You can also anonymously report potential misconduct through MySafeWorkplace.com.

Understanding the Code of Conduct: *

I have read and understand my responsibilities as a Habitat for Humanity Corpus Christi volunteer, as outlined above.

EMERGENCY CONTACT INFORMATION:

Emergency Contact Name *

First

Last

Relationship to Volunteer: *

Contact Phone #: *

Contact e-mail: *

RELEASE AND WAIVER OF LIABILITY

I have read and understand the Volunteer Release and Liability Waiver

Please be sure to read all of the information in the above hyperlink.

Name *

First

Last

I understand that this is a legal representation of my signature. I further understand that this signature represents my understanding and agreement to all communications, waivers, and disclosures provided in this application.

Is the volunteer a minor? (Under the age of 18) *

Yes
No

IMPORTANT INFORMATION REGARDING MINORS:

If the Volunteer is less than 18 years of age, all parents or guardians must complete the signature section below.

If only one parent or guardian signs these forms on behalf of a Volunteer who is under 18 years of age, then the undersigned parent or guardian of the Volunteer hereby covenants, warrants, represents and agrees that he or she is executing these forms on behalf of, and as an agent for, any other individual who may be a parent or guardian of the Volunteer, that he/she is fully authorized to do so, and that by executing such Release and Parental Authorization, the undersigned is binding himself/herself, the Volunteer, and any other parent or guardian of the Volunteer, and all of their heirs, next of kin, assigns, and legal representatives to such Release and Parental Authorization.

I have carefully considered my decision, the benefits and risks involved and hereby give my informed consent, on behalf of the above listed minor child, for him/her to participate in all Activities as set forth in the above Volunteer Agreement, Release and Waiver of Liability, and such terms are incorporated herein.

I Understand

I have read and understand the above Volunteer Agreement, Release and Waiver of Liability, any questions of mine have been answered, and I voluntarily agree to all such provisions. It is my intent to bind my and the minor Volunteer's heirs, next of kin, assigns, and legal representatives. Furthermore, I understand that the above Volunteer Agreement, Release and Waiver of Liability is made on behalf of my minor child(ren) and/or legal wards and I represent and warrant to Habitat for Humanity International, Inc. or its affiliated organizations that I have the full authority to sign this on behalf of such minor(s).

I Understand

Parent/Guardian Name *

First

Last

I understand that this is a legal representation of my signature. I further understand that this signature represents my understanding and agreement to all communications, waivers, and disclosures provided in this application.