Habitat East Polk Group Interest Form Question Title * 1. Group contact information Contact Name Group Name City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address Question Title * 2. How would you best describe your group? Business Professional organization Faith-based organization Community organization College organization High school organization Other (please specify) Question Title * 3. What volunteer opportunities is your group interested in? Construction Dundee ReStore Winter Haven Restore Fundraiser Campus chapter Young professional group Other (please specify) Question Title * 4. How many volunteers do you estimate being in your group? Question Title * 5. What day(s) of the week is your group interested in volunteering? Tuesday Wednesday Thursday Friday Saturday Question Title * 6. Do you have a timeframe or dates in mind for your group opportunity? Question Title * 7. Is your group interested in sponsoring or fundraising for a future Habitat East Polk home? Yes No Need more information Question Title * 8. Is there anything else you would like us to know about your group? Done