Community Service Application

 

 
 

Welcome! And THANK YOU for choosing us for your Community Service!

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The maximum length for the field Occupation is 500 characters.
The maximum length for the field Employer is 500 characters.
The field Work Phone must be a phone number.
The maximum length for the field Church and/or Civic Affiliations is 500 characters.
The field T-Shirt Size is required.
The date field Birthdate is required.

Community Service Information

Habitat for Humanity of Craven County is a registered Court Ordered Service Agency. Volunteers interested in serving their court ordered service hours with Habitat Craven County may be referred by the Community Service Work Program (CWSP) located at 403 George Street, New Bern (252-514-4736). This office will forward the necessary paperwork for each individual assigned to our affiliate.

Volunteers that are coming through their attorney’s office must submit a letter on the attorney’s letterhead stating the volunteer’s name, violation, number of hours required, and date all hours must be completed.  This letter must be turned in before beginning community service hours.

Hours worked are tracked and reported by the Volunteer Coordinator each Monday. In the case of volunteers coming directly from an attorney, a letter of completion will be prepared by the Volunteer Coordinator when all required hours are finished. Volunteer Coordinator needs at least a 48 hour notice to complete this letter.  Letters of completion are not needed for individuals coming through the CWSP.


The field Court Ordered is required.
The field Self-appointed is required.
The field Offence is required.
The field Number of Hours is required.
The date field Due Date is required.
The maximum length for the field Lawyer's Name is 500 characters.
The field Health concerns that may affect your work? is required.
The maximum length for the field If yes, please explain: is 500 characters.

Availability

The field Volunteer Area(s) of Interest is required.
The field Availability: Days of the Week is required.
The field Availability: Time of Day is required.

Liability Waiver

Please read and sign the following waiver before doing volunteer work for Habitat for Humanity of Craven County.

This Release and Waiver of Liability is hereby submitted by the Volunteer named above on the date shown in favor of Habitat for Humanity International, Inc., a nonprofit corporation, and Habitat for Humanity of Craven County, Inc., a North Carolina nonprofit corporation, their directors, officers, employees, and agents (collectively, “Habitat”). The Volunteer desires to work as a volunteer for Habitat for Humanity and engage in the activities related to being a volunteer. The Volunteer does understand that these activities may include but are not limited to: working in Habitat offices and worksites; working in Habitat ReStore operations; loading and unloading materials; traveling to and from work sites; consuming food available or provided; living in housing provided for volunteers; assisting in disaster relief areas; constructing and rehabilitant residential buildings; other construction-related activities; and other volunteer activities (“Activities”). I, the Volunteer, understand that my activities may include work that may be hazardous to me or worsen certain illnesses, especially if I do not wear protective equipment, am exposed for extended periods of time or have a pre-existing condition. The Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms:

1. Release and Waiver. Volunteer does hereby release and forever discharge and hold harmless Habitat and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the Volunteer’s activities with Habitat. Volunteer understands this Release discharges Habitat from any liability or claim that the Volunteer may have against Habitat with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer’s Activities with Habitat, whether caused by the negligence of Habitat or its officers, directors, employees, or agents or otherwise. Volunteer also understands that Habitat does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness. It is understood and acknowledged that children under the age of 16 are not allowed on Habitat worksites while construction is in progress. While minors between the ages of 16-18 may be allowed to participate in some types of construction work, the use of power tools excavation, working on rooftops and similar activities are not permitted for anyone under the age of 18. It is the responsibility of the Guardian to communicate these requirements to the Volunteer who will participate in Activities.

2. Medical Treatment. Volunteer does hereby release and forever discharge and hold harmless Habitat from any liability, claim demand and action whatsoever which arises or may hereafter arise on account of any first aid, treatment, transportation or service rendered in connection with the Volunteer’s activities with Habitat. Volunteer consents to the use of first aid treatment. If an emergency contact cannot be reached promptly, I hereby authorize Habitat to act as an agent for me to consent to any treatment as advised by a physician, dentist or other health care provider. I also authorize Habitat to arrange for transportation of me as deemed necessary and appropriate in their discretion.

3. Insurance. The Volunteer understands that, except as otherwise agreed to by Habitat in writing; Habitat does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage. I understand that I am responsible for payment for any medical or other services obtained.

4. Confidentiality. I agree that in the course of my participation in the Activities, I may have access to personal and/or health information of other persons. I agree to maintain the confidentiality of such information,, to use such information only as necessary to do my job as a volunteer, and to comply with Habitat for applicable policies regarding such information.

5. Photographic Release. Volunteer does hereby grant and convey unto Habitat all right, title and interest in any and all photographic images and video or audio recordings made by Habitat during the Volunteer’s Activities with Habitat, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

6. Other. Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of North Carolina, and that this Release shall be governed by and interpreted in accordance with the laws of the State of North Carolina. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

By typing your name below, you are signing the attached Liability Waiver electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Liability Waiver. By typing your name below using any device, means or action, you consent to the legally binding terms and conditions of this Liability Waiver. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and Habitat for Humanity of Craven County. You are also confirming that you are the person authorized to enter into this agreement. You further agree to be bound by the terms and conditions of these Disclosures and Agreement as they exist on the date of your E-Signature on this form.


The field Your Name is required.
The date field Date is required.
The maximum length for the field Parent or Guardian (Under 18) is 500 characters.