Get Involved Survey
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1
. Please provide us with your contact information:
Please provide us with your contact information:
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
2
. How did you hear about Waco Habitat for Humanity?
How did you hear about Waco Habitat for Humanity?
3
. Would you like to be on our mailing list?
Would you like to be on our mailing list?
Yes
No
4
. Would you like to sign up for our email updates?
(Email updates include information about volunteer opportunities, timely bargains at the ReStore, and special events).
Would you like to sign up for our email updates? (Email updates include information about volunteer opportunities, timely bargains at the ReStore, and special events).
Yes
No
5
. If you would like a Habitat representative to speak to an organization with which you are affiliated, please provide the organization name and contact info below.
If you would like a Habitat representative to speak to an organization with which you are affiliated, please provide the organization name and contact info below.
Name:
Organization:
Email Address:
Phone Number:
6
. If you are interested in volunteering, please check any boxes that apply and we will contact you with more information.
If you are interested in volunteering, please check any boxes that apply and we will contact you with more information.
Build houses
Build wheelchair ramps
Build cabinets with the Tues/Thurs Cabinet Crew
Serve on a committee
Help out at the ReStore
Provide a meal to the Prison Partnership
Coordinate my church's participation
Provide Spanish translation
7
. Are you interested in donating?
Are you interested in donating?
Building materials
Free/Discounted services
A house sponsorship or co-sponsorship
Legacy gift or annuity
Tribute/Memorial
8
. Comments regarding any of your responses to the above questions.
Comments regarding any of your responses to the above questions.
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