Youth United Volunteer Form

Habitat for Humanity of McHenry County

P. O. Box 1166; McHenry, IL 60051-1166

Phone: 815.759.9002; Fax: 815.759.9051

Volunteer Information Form

Name

First: Mi: Last:

Address

City

State

Zip Code

Email

Home Phone

Cell Phone

Gender & Age Info

Male Female

Age: Birthdate:

Parent/Legal Guardian

Name:

Day Phone:

Evening Phone:

Other Emergency Contact.

Name

Phone Number:

School