Volunteer
Application
ReStore Raleigh
Individual Information
First name
Last name
M. I.
Address
City
Home phone
Cell phone
D.O.B.
Zip
E-mail address
Occupation
If you are bilingual, please list language(s) spoken:
How did you find out about this opportunity?
Availability
How often would you like to volunteer?
Weekly
Every other week
Check the days and times you would like to volunteer:
Habitat Restore Shifts
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
10am-2pm
10am-2pm
10am-2pm
10am-2pm
10am-2pm
8am-12pm
2pm – 6pm
2pm – 6pm
2pm – 6pm
2pm – 6pm
2pm – 6pm
12pm-4pm
Please check all that apply:
I am comfortable lifting items up to 50lbs.
I am familiar with home repair, building materials, and/or interior design.
I am able to work from 8am to 4pm some days.
I love playing Tetris with physical objects.
I enjoy chatting and meeting new people.
I have experience merchandising in a retail environment.
I enjoy answering the phone and providing information and directions.
Which tasks do you have experience in and enjoy?
Machine Repair
Carpentry
Art/Decorating
Landscaping
Plumbing Repair
Painting
Cleaning
Organizing
Cabinet Repair
Sewing
Data Entry
Marketing
Furniture Repair
DIY Crafts
Other:
Previous Volunteer Experience
Summarize your previous volunteer experience.
Preferred Volunteer Roles
Please let us know where you'd like to help:
Donation Receiving and Processing
Drivers’ Assistant
Customer Service
Merchandiser
Cashier Assistant and Reception
Emergency Contact
Name
Home Phone
Relationship
Cell Phone
Work Phone
Agreement and Signature
The undersigned acknowledges that he or she has voluntarily agreed to assist Habitat for Humanity of
Wake County, Inc. (“Habitat”) in constructing homes for low-income persons, including but not limited to work in
the ReStore. The undersigned understands that as a volunteer he or she will not be paid for his or her services, that
the undersigned will not be covered by any medical or other insurance coverage provided by Habitat and that the
undersigned will not be eligible for any workers’ compensation benefits. Not withstanding the foregoing, if the
undersigned is injured on the worksite, Habitat provides a volunteer insurance policy which will pay for direct
medical expenses only which are not paid by the undersigned’s health insurance company, up to a maximum of
$250,000 for overall accident medical expenses. By executing below, the undersigned further represents to Habitat
that undersigned is not registered on what is commonly referred to as a "sex offender registry". The undersigned
expressly agrees that Habitat may (but shall not be required to) conduct any criminal background check or other
similar background check on the undersigned as Habitat may deem appropriate, and without limiting the generality
of the following sentence, Habitat reserves the right to terminate any volunteer that appears on any such background
check. The undersigned further agrees that his or her participation in any Habitat project may be terminated at any
time by either Habitat or the undersigned.
THE UNDERSIGNED IS AWARE THAT, IN VOLUNTEERING FOR HABITAT, THE
UNDERSIGNED MAY BE EXPOSED TO PERSONAL INJURY OR DAMAGE TO HIS OR HER PROPERTY
AS A RESULT OF THE UNDERSIGNED’S ACTIVITIES, THE ACTIVITIES OF OTHER VOLUNTEERS, OR
THE CONDITIONS UNDER WHICH THE UNDERSIGNED’S VOLUNTEER SERVICES ARE PERFORMED.
WITH KNOWLEDGE OF THESE DANGERS, THE UNDERSIGNED AGREES TO ACCEPT ANY AND ALL
RISKS OF INJURY OR DEATH.
In consideration of the opportunity afforded to the undersigned to participate in projects as a Habitat
volunteer, the undersigned agrees that neither the undersigned nor the undersigned’s assignees, heirs, guardians, or
legal representatives will make any claim or institute any action or suit at law or in equity against Habitat or any of
its affiliated organizations, or their respective officers, directors, or employees, or any supplier of any materials or
equipment that is used by Habitat in any project, any promoter, sponsor, or advertiser of Habitat, any owner or
lessee of the project premises, or any of the volunteer workers (collectively, the “Releasees”), for any damages,
costs, loss of services, expenses, or compensation for or on account of any injury, damage, death, or loss either to
person or property, or both resulting or to result, known or unknown, past, present, or future arising from the
undersigned’s participation in a Habitat project. Without limiting the generality of the foregoing, the undersigned
releases, waives, and discharges the Releasees of and from any rights, actions, or caused of action resulting from
personal injury or death to the undersigned, or damage to the undersigned’s property, sustained in connection with
the undersigned’s participation in any Habitat project.
THE UNDERSIGNED HAS READ THIS AGREEMENT CAREFULLY AND FULLY UNDERSTANDS
ITS CONTENTS. THE UNDERSIGNED IS AWARE THAT THIS IS A RELEASE OF LIABILITY AND A
CONTRACT BETWEEN THE UNDERSINGED AND HABITAT, AND SIGNS IT OF THE UNDERSIGNED’S
OWN FREE WILL. BY SIGNING THIS AGREEMENT THE UNDERSIGNED CERTIFIES THAT HE OR SHE
IS EIGHTEEN YEARS OF AGE OR OLDER OR HAS DELIVERED THE CONSENT OF THE
UNDERSIGNED’S PARENT OR GUARDIAN TO HABITAT.
By signing this form, I permit Habitat Wake Staff or other volunteers to take my picture on site. I recognize that
Habitat Wake might use these pictures in printed materials, videos, the Habitat Wake webpage or in news media in
efforts to promote Habitat for Humanity. If I do not wish my photo taken, I’ll notify the photographer or contact the
Habitat Wake Communications Manager.
The undersigned expressly agrees that this Agreement is intended to be as broad and inclusive as permitted by the
laws of the State of North Carolina, and that if any portion hereof is held invalid, it is agreed that the balance shall
continue in full legal force and effect.
___________________________________________
Signature
_______________________
Date