Loudoun Habitat Volunteer Information Form

When you have entered all the information, click on the "Submit Query" button at the bottom.

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Please fill out all the information below.................* Required Fields

Personal Information
Name (First) *
 Name (Last) *
 Middle Initial
Mailing Address *
City *
 State/Province *
 Zip *
E-mail *
Work phone *
 Home Phone *
How did you hear about LHFH?

 If other please explain:
Can we add you to our mailing list? Yes      No

Areas Of Interest (Check all that apply)
Church Relations Committee Family Selection Committee Finance & Budget
       Committee
Public Relations Committee Volunteer Relations
       Committee		 Construction Committee
Family Support Committee Fundraising committee Site Selection Committee
Youth    Special Events Other

Availability

All volunteers must be at least 16 years of age. Those under 18 are required to get signed and witnessed permission. The forms can be filled out and signed on site. All youth volunteers must have these three forms signed: