Volunteer Requirements Your application process is not complete until we receive and approve your application. Please do not make travel arrangements until you receive a confirmation from Unity’s Customer Care Department stating that your application has been received and approved. For questions contact Customer Care 866-324-5996. You must be at least 18 years of age to participate. Contact Information Date of Retreat(s) Date of Retreat(s)April 30-May 5, 2017October 29-November 3, 2017April 29-May 4, 2018October 7-12, 2018 This is my first trip to Unity Village This is my first Nehemiah Retreat Requirements For your safety and the success of the Nehemiah Retreat the following physical requirements must be met in order to participate. You must be able to state an unqualified “YES” to the statements below to qualify for this retreat. Select all that apply I can bend, lift, climb a ladder, and carry an object weighing 40-50 pounds. I can work on my feet outside for up to seven hours a day for four consecutive days. (With scheduled breaks.) I can tolerate working in cool/cold/warm/hot weather conditions for up to seven hours a day for four consecutive days. I have no medical conditions that prevent me from doing intense physical work in an interactive team environment. Special Skills or Qualifications For planning purposes, please check any of the special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. (It is not required to have a special skill, simply the ability and willingness to learn new tasks and work hard.) Select all that apply Painting - Interior Painting - Exterior Mixing & applying stucco to vertical surfaces Woodworking - Finish Landscaping - (Such as, digging trenches, planting, laying sod, laying patio pavers…) Laying brick or cement blocks Handling a wheel barrow Mixing cement Woodworking - Rough Use of hand tools, levels, sanding Previous Volunteer Experience Summarize your previous volunteer experience. Person to Notify in Case of Emergency Agreement and Signature Agreement I agree that the information I have provided is, to my knowledge, accurate I agree to the Nehemiah release forms By checking the following boxes, I certify that I have read and understand the information and instructions in the Nehemiah application and release forms, and I verify the truth and accuracy of the statements I have made in this application. Further, I understand that Unity will rely upon the accuracy of these statements in making its decision for Nehemiah Retreat participation and that any false statement or material omission will be grounds for denying the application or dismissal from the retreat.