Contact Details

* First Name:

* Last Name:

* Date Of Birth:

MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day01020304050607080910111213141516171819202122232425262728293031 Year20122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912

If Under 18:
* Parent's First Name:

* Parent's Last Name:

* Email Address:

* Address:

* City:

* State:

* ZIP Code:

* Cell Phone:

* Home Phone:

* Business Phone:

Preferred Number:

Cell Home Business

Best Way To Reach:

Email Phone Both

Occupation/Employer:

Are you a contractor?

YesNo

If you are signing up to work with a specific group (i.e. Church, Club, Company, Friends, Etc.),
please list the name of the group with which
you are affiliated:

Do you have a pick-up truck available to haul materials?

YesNoSometimes

Construction WorkFamily SupportFamily Selection

Public Relations (Computer Skills Reqd.)Faith RelationsSite Selection

Special Event: Plant & Garage SaleSpecial Event: Golf TournamentFundraising

Carpet & Flooring:  

123

General Carpentry:

123

Painting:

123

Concrete & Foundations:

123

Trim & Finish Carpentry:

123

Roofing:

123

Drywall/Taping:

123

Framing & Siding:

123

Plumbing:

3

HVAC:

3

Excavation/Grading:

3

Electrical:

3

Are you willing to be a construction crew leader?

YesNo

Grant WritingLegalLandscapingIT Tech

I want to fulfill a community service obligation:

SchoolCourt-OrderedOther

How many hours do you need to complete?

Must be completed by:

Have you ever volunteered for Habitat before:

YesNo

If so, was it with the Telluride Region:

YesNo

Please check the boxes indicating the type
of work that you did (check all that apply):

Work SiteFundraisingService on a committeeServed on a board

* By pressing the button below and submitting this application, I certify that the information contained in this application is accurate to the best of my knowledge. I agree to read the online Habitat for Humanity Crew Safety Manual thoroughly before going to a Habitat work site and, by pressing the button below, I hereby consent to a criminal and sex offender background check.