Your information

First name

Enter a first name

Last name

Enter a last name

Phone

Enter a phone number

Phone type
Email address

Enter a valid email address

Email type

Date of birth

Month

Enter a month

Day

Enter a day

Year

Enter a year

Background

Gender

Enter a gender

Education

Enter an education

Languages

Address

Address

Enter an address

Apartment, suite, etc. (optional)
City

Enter a city

Country/region

Enter a country

State

Enter a state

ZIP code

Enter a zip

Experience

Skills
Interests
Certifications that may be relevant

Availability

Indicate the times that you're available to volunteer

Morning Afternoon Evening
Sun
Mon
Tues
Wed
Thurs
Fri
Sat

Select available times

How often you'd like to help

Select a frequency

Total hours to pledge

Specify hours to pledge

Additional details

T-Shirt size

Enter a t-shirt size

Dietary restriction
Allergies
Physical limitations
How did you hear about us?

Enter a response

Please share the name of you employeer (if applicable)

Enter a response

Please share where you attend church (if applicable)

Enter a response

Did you serve or are you currently serving in the military?

Enter a response

Are you a Thrivent member?

Enter a response

Race

Enter a response

What kind of volunteer work are you interested in?

Enter a response

I hereby authorize the release of any personal information requested by Habitat for Humanity – La Crosse Area to complete a criminal background check.

Enter a response

Legal Name (First, Middle and Last)

Enter a response

Are you volunteering for court-ordered community service?

Enter a response

What locations would you be interested in working at? (Construction, RePair, and ReClaim only)

Enter a response

Emergency contact

Relationship

Select a relationship

First name

Enter a first name

Last name

Enter a last name

Phone

Enter a phone number

Phone type
Email address

Enter a valid email address

Email type

Address of contact

Address

Enter an address

Apartment, suite, etc. (optional)
City

Enter a city

Country/region

Enter a country

State

Enter a state

ZIP code

Enter a zip

Confirmation

Click Continue to review our terms and conditions