Ellis County Habitat for Humanity
                                  P.O. BOX 157
                              Waxahachie, TX  75168
                                
                            VOLUNTEER INFORMATION FORM-1
                                                    
        Please print form, fill in the following information (print please), and
        mail to the address above. 

      Name __________________________________________________________________

   Address ____________________________________________   Apt.# _____________

      City ________________________________  State ________  Zip_____________

Home Phone _____________________________   E-mail ___________________________

   Company _____________________________  Occupation ________________________


Area of interest:

Becoming a homeowner          _____          Training      _____ 

Volunteer Services             _____          Donations     _____   

______________________________________________________________________________


Do you know someone who needs to apply for a home    _____   

If yes, then please provide as much information as possible:

 Name __________________________________________________________________

   Address ____________________________________________   Apt.# _____________

      City ________________________________  State ________  Zip_____________

Home Phone _____________________________   E-mail ___________________________

   Company _____________________________  Occupation ________________________


Signature_________________

Date:______________


Thank you for providing this information.  We will be contacting you soon.