Name *
Name
Phone *
Phone
Address
Address
Tell us what you'd like to do!
Reference #1 *
Reference #1
Reference #1 Phone Number
Reference #1 Phone Number
Reference #2 *
Reference #2
Reference #2 Phone Number *
Reference #2 Phone Number
Availability
Daytime Availability *
Weekday Availability *
Volunteer Opportunities
Check all that apply
Home Repair Program
Housing Assistance performs repairs on homes throughout the year and relies on volunteer labor to help with many of these repairs.  Skilled labor is needed in carpentry, plumbing, flooring, roofing, electrical and masonry work. Other help such as hauling materials, carpentry assistance, and yard work are also occasionally needed.
Fall Prevention Program
The Fall Prevention Program is designed to educate low income elderly and disabled people about the risks of falling in the home and offers suggestions for how to prevent falling.  The program also completes modifications and safety upgrades to homes so homeowners may remain living independently, safely, and with a sense of security in their own homes.
Affordable Housing Support
Communications
Fundraising
Home Construction
Criminal Background
Have you ever been convicted of a crime? *
Other than minor traffic offenses.
Emergency Information
Please list any medical conditions or allergies we need to be aware of.
Emergency Contact *
Emergency Contact
Emergency Contact Number *
Emergency Contact Number
Confidentiality statement
I recognize the right to privacy of all the Housing Assistance Corporation’s clients. I understand that in performing the responsibilities of my volunteer job, I may need access to information which is confidential. I will not share information about any of the clients without the express of that individual and the agency.
Informed Use of Photographs
I hereby authorize the Housing Assistance Corporation to use my image in any promotion of the agency’s programs and activities. I understand that these promotions may include but are not limited to such informational and instructional materials as the production of brochures, slide presentations, videotapes, and newsletters to be distributed publicly.
Agreement to Terms
Please refer to Volunteer Handbook for safety guidelines. I understand that I will be expected to meet the requirements of the position, including agreed-on attendance and adherence to agency policies and procedures. I am aware that I may be exposed to personal injury or damage to my property as a result of my activities, the activities of other persons or the conditions under which my services are performed while participating in a volunteer workday. With full knowledge and understanding, I agree to accept any and all risks of injury, damage, or death and I release Housing Assistance Corporation of Hendersonville, its directors, employees, and volunteers from any and all liability arising out of my participation as a volunteer.
Volunteer Signature *
Volunteer Signature
Date *
Date