Jackson-Union County Habitat for Humanity
Volunteer Interest Survey
(Please Print)Name ___________________________________ Home Phone ____________________
Address__________________________________ Work Phone ____________________
City, State, Zip ___________________________________________________________
E-Mail Address ___________________________ Fax/Cell Phone __________________
Employer _______________________________ Occupation ______________________
(Please Circle)
Availability: Mornings Afternoons Evenings Weekdays Weekends Summer
Construction Interests: Supervisor General Labor Excavation Masonry Rough Carpentry
Finish Carpentry Plumbing Heating Electrical Roofing Insulation Siding Drywall Painting
Cabinets Floor Coverings LandscapingOffice Interests: Data Entry Accounting Bulk Mailings Phoning General Office Duties
Other Interests: Food Preparation Special Events Administration/Management Fundraising
Public Relations Church Relations Public Speaking Family Nurture Grant Writing Family SelectionPlease list any experience you have in the interests you’ve circled: (Note, no experience is necessary as all volunteers are welcomed and encouraged to participate) _____________________________
____________________________________________________________________________________
Briefly describe how you would most like to benefit our organization:
____________________________________________________________________________________
____________________________________________________________________________________If you would also like to make a monetary donation, please make your check payable to Jackson-Union County HFH and include it when you return this form.
Please complete and mail to: Jackson-Union County HFH Lee E. Brackett, President 300 E. Main Street, Suite #6 Carbondale, IL 62901 Phone: 618.457.8480 E-Mail: lee@brackettinsurancegroup.com Website: www.JUCHabitat.org Thank You!