Habitat For Humanity
Box Butte County, Inc.
P.O. Box 603 / 723 Flack Ave.
Alliance, NE 69301
(308) 762-3730
General interests/Skills Survey
Name: _________________________________________________________________________
Address: _______________________________________________________________________
Home Phone:______________ Office Phone:________________ Cell Phone:_______________
Email:________________________ Occupation or Name of School:______________________
Church Affiliation (if any):________________________________________________________
Do you own a truck or other equipment that might be useful to Habitat? Please Specify: _________________________
Check if you would be willing to serve on the Board of Directors or one of the listed committees:
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_____Board of Directors _____Building Committee _____Church Relations _____Special Events |
_____Family Partners _____Family Selection _____Fund Raising _____Site Selection |
_____Public Relations Committee _____Safety Committee _____Nominating Committee _____Development Committee |
Mark area(s) where you are skilled or would like to volunteer. Indicate
your skill level next to items:
B=Beginner, S=Skilled, E=Expert, T=Trade, L=Licensed
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_____Carpenter Finish _____General Carpenter _____Painting _____Grading _____Plumbing _____Carpenter Rough/Framing _____Concrete Finisher _____Foundation Preparation |
_____Heating & AC _____Siding/Vinyl/Wood _____Crew Leader _____Site Preparation _____Dry Wall _____Surveying _____Electrical |
_____House Leader/Construction Coordinator _____Insulation _____Window Installation _____Excavation _____Landscaping _____Masonry |
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_____Art Work _____Attorney/Legal Work _____Mailings _____Music _____Computers _____Newsletter Writing _____First Aid |
_____Data Entry _____Office Skills _____Food Service/Cooking _____Filing _____Photography _____Sewing _____Financial Training |
_____Press Writing _____Fund Raising _____Public Speaking _____Grant Writing _____Typing _____Accountant/Bookkeeping _____Financial Support |