Housing Development Alliance, Inc.     
Building Homes, Building Community
Since 1993        

Local Volunteer Application

Please provide the following contact information:

Name of Group or Individual
Name of Main Contact Person
   
Street Address or P.O. Box
Address Line 2
City
State/Province
Zip/Postal Code
   
Work Phone
Home Phone
   
E-mail
Best times to contact you
How many people are in your group?  Total should be no more than 35, including leaders.  If you plan on volunteering as an individual, please specify your total as 1.

Jr. High        Sr. High    College    Adults

TOTAL

Previous Mission/Work Trip Experience

Construction Skills/Experience (Construction experience is not necessary to volunteer!)

Please check all that apply:

I/We can work outside all day in the heat/cold.

I/We can perform manual labor with adequate supervision/guidance.

I/We prefer to volunteer in your office, rather than at the construction site.

I/We are interested in participating in the Ultimate House Raising Challenge!

Anything else you want us to know about your interests or group?

How did you find out about the Housing Development Alliance?

If other, please specify:

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Equal Housing Opportunity

Building Homes,
Building Community
Since 1993

HDA, Inc.
P.O. Box 7284
Hazard, KY 41702
606.436.0497