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New Volunteer Registration » Individuals »

New Registrations

If you have a volunter group, please create a group online to ensure you are all placed together. To do this, the group leader should complete this online registration below, then the leader can create a group online and then select dates for the group on our online Construction Calendar.

{orgName} does NOT sell or in any way give out any information you provided to us during this process.

LOGIN INFORMATION You may use your primary phone number, or other 6-10 characters (letters & numbers only) if you do not have an email address. This login must be unique from any other existing login. If you share an email address with another person who will also register on this system, only one of you can you the email address as your login (the other could use your phone number or other login).
*Login Username: [usually email address]
*Password: [4-10 letters &/or numbers]

Personal Security Question Please do not use highly personal information such as your social security number, drivers license number, or mothers maiden name.
*Please provide a password security question in case you ever lose your password or login. [example: My favorite color is]:

*Your correct answer to the security question is [example: blue]:

YOUR INFORMATION Title:
*First Name:
*Last Name:
If you do not provide us with an email address, we cannot send you confirmation emails of volunteer activities you choose volunteer for.
Email Address:

Would you like to subscribe to our email list?
[changes to this will not display immediately]:

No thanks

Yes, please subscribe me.

Date of Birth:

Home Phone:
Work Phone:
Cell Phone:
*Address:

*City:
*State:
*Zip:
Employer:
Occupation:

EMERGENCY INFORMATION Allergies:
*Contact Name:
*Relationship:
Address:
City, State Zip:
*Best Phone: [ with area code ]
Second Phone: [ with area code ]

VOLUNTEERING DETAILS

*Are you volunteering with us to get court ordered public service hours?

Yes

What days are best for you to volunteer?

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Do you have any special equipment or tools that may be helpful?

Do you have any special licenses or talents that may be helpful?

What motivated you to volunteer?

How did you hear about Habitat for Humanity Greater Birmingham?

Other

Radio

Internet

Friend

Newspaper

DEMOGRAPHICS The following information is for statistical information only and is not used in any manner which also identifies you personally.
What is your race/national origin?
Reside in County:
Age Group:
Gender: