Volunteer Application
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3Volunteer Application Form
This form is to be completed, signed and returned to the Child Protection Coordinator at the parish, school or agency at which you are to provide volunteer services.
A copy of this completed form will be retained in a file on site. The original will be sent to the Archdiocesan Office of Employee & Volunteer Services.
Last Name
First
Middle
Last 4 Digits of SSN
Date
Present Street Address
City
State
Zip
Daytime Phone
Evening Phone
Permanent Address (If different from present address)
Cell Phone No.
E-mail Address
Are you 18 years of age or older?
Have you ever volunteered for an Archdiocesan location?
Yes
No
Yes
No
If yes, give details: ________________________________________________________
I am interested in VOLUNTEERING at
school: __________________;
parish: _________________;
agency: _________________
Interested in volunteering for
school activities
religious education
youth ministry
coaching
other________________
I am available
mornings
afternoons
evenings
weekdays
weekends
Date available: ____________________
VOLUNTEER ACTIVITIES
Please list all present and former volunteer activities beginning with your present or most recent position first. Use
additional pages if needed. Include all other names worked under if different than the name you used on this form.
Parish/Company/Organization Name
Phone
From
To
Address
City, State Zip
Duties/Responsibilities
Parish/Company/Organization Name
Phone
From
To
Address
City, State Zip
Duties/Responsibilities
Parish/Company/Organization Name
Phone
From
To
Address
City, State Zip
Duties/Responsibilities
)
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