Student Pledge Form 2025-2026

STUDENT BUILD PLEDGE FORM

Thank you for agreeing to help us to build with families in need on Long Island by participating in our STUDENT BUILD program in support of our affordable housing program.

Habitat Long Island agrees to support Student Build participants in the following ways:

1. Provide a fully developed building site, the necessary materials (including tools and safety equipment), hire subcontractors and obtain the necessary building permits and inspections.

2. Provide opportunities for the volunteers from the group mentioned below to participate in the building process, and a qualified construction site supervisor to assist your group during the project.

As a Student Build participant, please agree to the following:

1. Work with Habitat Long Island to organize a date/s and participate in the building project by providing student volunteers who are 16 years of age or older.

2. Provide adequate supervision for each workday assigned; one adult for every 10 students.

3. Fulfill the minimum requirement of attempting to raise funds of at least $400 for Habitat Long Island.

4. Support, within its organization and the community at large, the Habitat Long Island concept of eliminating sub-standard housing on Long Island and throughout the world. This includes cooperating with Habitat Long Island in any publicity and public relations activities associated with the project.

First Name*

Last Name*

Cell Phone*

Email*

Date of Birth*

Name of school/group*

School Address*

City*

State/Province*

Zip*

Does Your Group plan to donate to Habitat Long Island?* $500 minimum

How much does your group plan to donate to Habitat Long Island?* Minimum of $500 per build date is required

Please indicate how many build dates you would like to book*

Please select 2-3 dates that would work for your volunteer group to build with us. We will be in touch with you to confirm your build date.

Date Choice 1

Date Choice 2

Date Choice 3

By clicking the "I Agree" box below, you are confirming that all information provided above is accurate and you understand that you are digitally signing the Student Build Pledge Form.*

I Agree