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Habitat for Humanity of Pike County PA

Applications

Homeowner

Volunteer

 

Volunteer Application

 

Please complete the below form which will be sent to us by email.

Must be over 16 years old.

Over 16 Years Old?

Yes No

I Can Help
(check all that apply)

General Construction
Carpentry
Plumbing
Electrical
Heating
Painting
Administrative
Publicity
Fund raising
Web Site
Other (specify in comments box below)

Prefix (check one)

Mr. Mrs. Ms. Miss.  

  First Name

Middle Name/Initial

Last Name

Address Line 1

Address Line 2

City

State

Zip

E-Mail

Home Phone

Work Phone

Comments 

   
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16 Delaware Crest - Dingmans Ferry PA 18328 - (570) 828-1623 - Fax: (570) 828-2346
hfhpc@ptd.net - www.hfhpc.org