Hire-a-Habitator Request Form Contact Us Contact InformationName* First Last Email* Phone*Desired ServicesSelect all that apply.Select all that apply. Raking Shoveling Cleaning Organizing Misc yard work Other Details*Please provide any necessary details of the work required so that we know what to expect upon arrival. Please include an estimate of how many volunteers will be needed. Date* MM slash DD slash YYYY Time* : Hours Minutes AM PM Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Thank You!Note that your donation to Eastern CT Habitat for Humanity will be accepted in cash or check. The suggested donation amount is $9 per person an hour, commonly for teams of 3 to 4 Habitators. Checks should be made to Habitat for Humanity-UConn Chapter. The donation will be picked up the day of the scheduled service. NameThis field is for validation purposes and should be left unchanged.