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Menu
Home
About Us
Misson Statement
Committees and Board Members
Supporters
Contact
Home Ownership
How the Program Works
The Process
Sweat Equity
FAQ's
Other Local Assistance Programs
Veterans
Critical Home Repairs
Tax Programs and Information
Veteran Stories
Volunteer
Team Builds
Volunteer sign up/Waiver
Community Service Requests
Volunteer Survey
2024 Habitat "FORE" Humanity Golf Classic
Sponsorship Package
Donate
Alternative Christmas Gift
In Kind Donations
Individual Gifting
Corporate Giving
Cars for Homes
Other Giving Options
Wish List
Sponsor Burrillville Duplex
Gallery
Publications
Press Releases
Event calendar
Habitat for Humanity West Bay and Northern RI
Volunteer Application
If you are interested in volunteering, please fill out this form and click on 'SUBMIT VOLUNTEER FORM' button below. This form will enable us to record your preferences and availability as well as give us the authority to perform a sex offender and criminal background check. You may also
Print the WAIVER
and bring it with you.
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Are you a Veteran?
*
Yes
No
If you have a need for recorded community service hours, please fill out our
Community Service Request form
.
If you are a Veteran, are you aware of the
Mission Continues Program
? This program could pay you for 20 volunteer hours a week through their fellowship program. Ask for us by name and we can coordinate work with Habitat for Humanity here in Rhode Island.
Email
*
Date of Birth
*
Group/Team Name (if applicable)
*
Employer
*
EMERGENCY/MEDICAL
CONTACT INFORMATION FOR VOLUNTEER
EMERGENCY CONTACT NAME
*
RELATIONSHIP TO YOU
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
PLEASE LIST ANY SPECIAL ACCOMODATION:
*
New Covid Attestation
Due to new Covid 19 Rules and Guidelines, we are taking every step we can to keep our volunteers and homeowners safe. We ask you read the below and attest that you have read they symptoms of COVID 19 and you are not experiencing any of these. We kindly ask that you wear a mask or one will be provided for you. We will be taking temperatures of all volunteers. If you have a temperature over 98.6 we will kindly ask you to leave. A limited number of people will be allowed in the home at one time. Please keep in mind social distancing and keep at least 6 feet apart. For more information on the current state of COVID, you may go to the
RI Department of Health
. If you start to experience any kind of symptoms after being at one of sites, we ask that you contact our volunteer coordinator at
[email protected]
.
Name
*
First
Last
After review of the screening tool, I certify that I am not experiencing any COVID symptoms
*
No Symptoms
Yes, I am experiencing symptons
VOLUNTEER OPPORTUNITIES
No experience is necessary for any opportunity: just a positive attitude and willingness to learn!
Check the opportunities you would like to learn more about:
Choose Any
*
Build on Saturdays
Roofing
Tile Work
Framing
Electrical Work
Landscaping
Painting
Join the board
I have experience with
*
electrical tools
painting
hammers
safety
other
Specifiy other:
*
STATEMENT OF CONFIDENTIALITY AND HARASSMENT POLICY
Habitat of West Bay and Northern RI expects all staff, volunteers, homeowners, and Board members to behave in a way that reinforces the Christian mission and founding principles of the organization. All staff, volunteers, homeowners and Board members should be afforded respect fairness and consideration as part of Habitat for Humanity's effort to provide a safe and productive environment.
Therefore, Habitat of West Bay and Northern RI prohibits any actions or conduct which may discriminate against or harass employees, volunteers, or homeowners. Habitat of West Bay does not tolerate any actions, words, jokes or comments based on an individual's gender, sexual preference, race, ethnic background, age, religion, physical condition or other legally protected characteristic. Any comments or actions, therefore, which demean or are hurtful to individuals because of any such characteristic are prohibited. Any such conduct may result in disciplinary action, including immediate discharge.
It is essential that all employees, Board members and volunteers of Habitat West Bay have a commitment to keep confidential the financial information of Habitat West Bay as well as all financial and personal information regarding applicants, homeowners, clients and donors. All such information will be used solely for lawful business purposes and may never be shared with third parties without the prior express written consent of the applicant, homeowner, donor except where the sharing of such information is permitted by law.
With respect to the affiliate's partner families (homeowner) and applicants, the above commitment involves respecting the homeowner's/applicants right to privacy, creating a level of trust, and treating the individual(s) in a respectful manner. The following Statement of Confidentiality must be adhered to:
1.) Do not disclose to anyone outside the organization the name or identity of homeowners/applicants unless a release has been signed.
2.) Do not discuss confidential or identifying information with your family or friends.
3.) Do not discuss a homeowner/applicant situation openly in front of others- share only with persons who have a need to know to provide a definitive service.
4.) DO handle inquiries from outsiders regarding homeowners/applicants in an appropriate manner, i.e. referring to the President, Committee Chairs, Board Members.
EMPLOYEE/VOLUNTEER ACKNOWLEDGEMENT FORM
I acknowledge that I have read and reviewed the policies contained in this document and agree to abide by them. I also understand that I have a right to expect to be treated fairly and respectfully in return, and should consult with the President of Board member regarding and alleged violations of this policy.
Please check this box to sign electronically. Checking this box will confirm that you accept all of the above terms and conditions. *
*
I Agree
Name
*
First
Last
Date:
*
RELEASE AND WAIVER OF LIABILITY
THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR RIGHTS! PLEASE READ CAREFULLY
This Release and Waiver of Liability, in favor of Habitat for Humanity of West Bay & Northern RI, Habitat for Humanity International, Inc. and any other Habitat for Humanity affiliated organization and their respective affiliates, directors, officers, trustees, employees, sponsors, donors, volunteers and agents (collectively, the "released parties"
I, the Volunteer, desire to work as a volunteer for one or more of the Released Parties without compensation and engage in the activities related to being a volunteer. I understand that my activities may include but are not limited to the following: working at a Habitat for Humanity offices, worksites, loading and unloading materials; traveling to and from work sites, towns and cities; consuming food available or provided; living in housing provided by volunteers; assisting in disaster relief areas; constructing and rehabilitating residential buildings; other construction related activities and other volunteer activities.
I, the Volunteer, understand that my Activities may include word that may be hazardous to me, including but not limited to. exposure to lead, asbestos and mold which may cause or worsen certain illnesses, especially if I do not wear protective equipment, am exposed for extended periods of time, or have a pre-existing immune system deficiency.
I also understand there is some risk consuming certain foods. I further understand I may be traveling to locations where there is a risk of criminal activities and instability, inclement weather or other circumstances that could threaten my health or safety.
I, the Volunteer, hereby freely, voluntarily and without duress execute this Release under the following terms:
Release and Waiver.
In consideration of and in order to be allowed to participate in the Activities, I, the Volunteer do hereby release and forever discharge and hold harmless the Released Parties and their successors and assigns from any and all liability, claims, demands, costs and damages of any kind, whether arising from tort, contract or otherwise, which I or my heirs, assigns, next of kin or legal representatives may have or which may hereinafter accrue, arise from, or are in any way related to my Activities with any of the Released Parties, including but not limited to personal injury, bodily injury, illness, property damage, loss or death, whether caused wholly or in part by the simple negligence, fault or other misconduct of any of the Released Parties or of other volunteers, other than their intentional or grossly negligent conduct.
I understand and acknowledge that by signing this Release I knowingly assume the risk of injury, harm, damage and loss associated with the Activities. I also understand that the Released Parties do not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance in the event of injury, illness, death or property damage.
I understand and acknowledge that children under the age of 16 are not allowed on Habitat for Humanity worksites while construction is in progress. While minors between the ages of 16 and 18 may be allowed to participate in some types of construction work, I understand that using power tools, excavation, demolition, working on rooftops and similar activities are not permitted for anyone under the age of 18. I agree it is my responsibility to communicate these requirements to any of my minor children who will attend and/or participate in the Activities.
Consent to Transportation and Medical Treatment
. I consent to the use of first aid treatment and the use of generic and over the counter medications and treatments as directed by manufacturer labels, whether administered by the Released Parties or first aid personnel. In an emergency, I understand the Released Parties may try to contact the individual listed below as an emergency contact. If an emergency contact cannot be reached promptly, I hereby authorize the Released Parties to act as an agent for me to consent to any examination, testing, x-rays,
medical, dental or surgical treatment for me as advised by a physician, dentist or other health care provider. This includes, but is not limited to, my assessment, evaluation, medical care and treatment, anesthesia, hospitalization, or other health care treatment or procedure as advised by a physician, dentist or other health care provider. I also authorize the Released Parties to arrange for: transportation of me as deemed necessary and appropriate in their discretion. I, the Volunteer, do hereby release, forever discharge and hold harmless the Released Parties from any liability, claim, demand, and action whatsoever brought by me or on my behalf which arises or may hereafter arise on account of any transportation, first aid, assessment, care, treatment, response or service rendered in connection with my Activities with any of the Released Parties.
If
the Volunteer is less than 18 years of age, the parent(s) having legal custody and/or the legal guardian(s) of the Volunteer also hereby release, forever discharge and hold harmless the Released Parties from any liability, claim, demand and action whatsoever brought by such volunteer or on his/her behalf which arises or may hereafter arise on account of the decision by any representative or agent of the Released Parties to exercise the power to transport, administer first aid, and consent to assessment, examination, x-rays, medical, dental, surgical or other such health care treatment as set forth in the Parental Authorization for Treatment of, and Travel With, a Minor Child.
Insurance
. I understand that, except as otherwise agreed to by the Released Parties in writing, the Released Parties are under no obligation to provide, carry or maintain health, medical, travel, disability or other insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own health, medical, travel, disability or other insurance coverage.
I understand that I am and remain responsible for payment of such hospital, physician, ambulance, dental, medical or other services obtained for me or my child. I agree that the Released Parties do not assume any responsibility for the payment of such fees or expenses which may be incurred. If I have health insurance, I understand my personal health insurance is my primary coverage.
Confidentiality
. I agree that in the course of my participation in the Activities, I may have access to personal and/or health care information of other persons. I agree to maintain the confidentiality of such information, to use such information only as necessary to do my job as a volunteer, and to comply with Habitat for applicable policies regarding such information.
Photographic/Recording Release.
I hereby grant and convey unto Habitat for Humanity International, Inc. all right, title and interest in any and all photographs and video/audio/electronic recordings of me, including as to my name, image and voice, made by or on behalf of any of the Released Parties during my Activities with the Released Parties, including, but not limited to, the right to use such materials for any purpose and to any royalties, proceeds or other benefits derived from them. I understand that I will not have any ownership interest in or to such photographs, images and/or recordings, I have not been provided or promised any compensation to me, and I hereby waive any rights, privileges or claims based on any right of publicity, privacy, ownership or any other rights arising, relating to or resulting from the photographs, images and/or recordings. I understand and agree that this paragraph also applies to my minor child(ren) who are volunteering.
Other.
I expressly agree that this Release is intended to be as broad and inclusive as permitted by state law. I further agree that in the event any clause or provision of this Release is held invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable. Further, a waiver of a right under this Release by a Released Party does not prevent the exercise of any other right.
Habitat for Humanity West Bay and Northern RI screens all staff, board members, applicant families and key volunteers on the National Sex Offender Public Registry. By completing this waiver you are submitting to such an inquiry.
I have carefully considered my decision; the benefits and risks involved and hereby give my informed consent to participate in all volunteer Activities. I have read and understand this Release and Waiver of Liability, any questions of mine have been answered, and I voluntarily agree to the above provisions. It is my intent to bind my heirs, next of kin, assigns and legal representative.
By checking this box you are confirmin that you accept all the above terms and conditions
*
Yes, I accept
Name
*
First
Last
Date:
*
Are you 18 years of age or older?
*
yes
No
Do you need to keep track your hours?
*
No
Yes
If you need community service hours, please fill out our
Community Service Request Form.
I agree to receiving marketing and promotional materials
Submit
Home
About Us
Misson Statement
Committees and Board Members
Supporters
Contact
Home Ownership
How the Program Works
The Process
Sweat Equity
FAQ's
Other Local Assistance Programs
Veterans
Critical Home Repairs
Tax Programs and Information
Veteran Stories
Volunteer
Team Builds
Volunteer sign up/Waiver
Community Service Requests
Volunteer Survey
2024 Habitat "FORE" Humanity Golf Classic
Sponsorship Package
Donate
Alternative Christmas Gift
In Kind Donations
Individual Gifting
Corporate Giving
Cars for Homes
Other Giving Options
Wish List
Sponsor Burrillville Duplex
Gallery
Publications
Press Releases
Event calendar