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Volunteer Information Form

Thank you for your interest in Clay County Habitat for Humanity. The information you provide will help us place you in a volunteer position which best suits your interest & skills as well as the needs of our affiliate. Please fill in all the fields below:


* Date of Application:
* Last Name:
* First Name:
* Street Address:
* City:
* State:
* Zip Code:
* Home Phone:
* Other Phone: Cell
Other Phone: Work

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