Volunteer

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First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Mailing Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Would you like to be updated on upcoming events and volunteer opportunities? REQUIRED Yes No Please fill out this field.
Age REQUIRED Please fill out this field. Please enter valid data.
Emergency Contact (Name and Phone) REQUIRED Please fill out this field. Please enter valid data.
Are You a Student? REQUIRED Please fill out this field.
If a Student, is Volunteering a Course Requirement?
Type of Volunteer REQUIRED One Time Volunteer (less than 12 hours) Long Term Volunteer Unsure Please fill out this field.
When are you able to volunteer?
Please select all that apply
Monday Tuesday Wednesday Thursday Friday Saturday No Preference
Is there a time of day you prefer?
Please select all that apply
Mornings Afternoons Evenings No Preference
Do you have a Program of interest?
Select All that Apply
Terre Haute Catholic Charities Foodbank Ryves Youth Center Bethany House Christmas Store No Preference
Are you applying to satisfy court-ordered service hours? REQUIRED Yes No Please fill out this field.
If these are court-ordered, how many hours are required?
Enter number of hours and date that they are due.
Please enter valid data.
Why are you interested in volunteering with Catholic Charities Terre Haute? REQUIRED Please fill out this field.
How did you hear about this volunteer opportunity? REQUIRED Please fill out this field.
Volunteer History - Please list the organization you volunteered with, your responsibility and the dates of your service REQUIRED Please fill out this field.
How do you hope to benefit from this experience? REQUIRED Please fill out this field.
EDUCATION BACKGROUND
- High School
- Institution Please enter valid data.
- Year of Graduation Please enter valid data.
- Diploma Earned Please enter valid data.
- College
- Institution Please enter valid data.
- Year of Graduation Please enter valid data.
- Degree Earned Please enter valid data.
- Other
- Institution Please enter valid data.
- Year of Graduation Please enter valid data.
- Degree Earned Please enter valid data.
WORK HISTORY
- Employer Please enter valid data.
- Dates of Employment Please enter valid data.
- Job Description Please enter valid data.
- Supervisor Please enter valid data.
WORK HISTORY
- Employer Please enter valid data.
- Dates of Employment Please enter valid data.
- Job Description Please enter valid data.
- Supervisor Please enter valid data.
Please list two (2) references NOT related to you
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Phone Number Maximum 20 characters Please enter a phone number.
- Email Please enter an email address.
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Phone Number Maximum 20 characters Please enter a phone number.
- Email Please enter an email address.
BACKGROUND INFORMATION
- Were you ever convicted of a felony or a misdemeanor (other than a traffic violation? REQUIRED Yes No Please fill out this field.
- Do you have any pending criminal charges? REQUIRED Yes No Please fill out this field.
- Have you ever been subjected to a civil protective order for domestic violence or abuse? REQUIRED Yes No Please fill out this field.
- Have you ever been investigated for or charged with child abuse or neglect? REQUIRED Yes No Please fill out this field.
- Has your driver's license ever been suspended or revoked? REQUIRED Yes No Please fill out this field.
- Other than the above, are there facts or circumstances that would call into questions the supervision, guidance and care of young people? REQUIRED Yes No Please fill out this field.
If you answered YES to any of the questions above, please explain:
The information contained in this application is true and correct to the best of my knowledge. I authorize you and any interested party to verify any information I have provided in this application. I authorize the Archdiocese of Indianapolis, its schools, parishes, employees and agents to seek information from any relevant source including but not limited to present and former employers, educational and training institutions, social security administration, criminal courts and state and county repositories of criminal records, department of motor vehicles or child protective services. I authorize my present employer and any previous employers, past and present fellow employees, educational and training institutions and any other persons to furnish information concerning my personal character, habits and employment records to the Archdiocese of Indianapolis, its schools, parishes, employees and agents. I hereby release and agree to hold harmless from liability any person or organization that provides information. I also agree to hold harmless the Archdiocese of Indianapolis, its schools, parishes, employees and agents from any and all liability with respect to the use and or disclosure of information gathered as part of this background check. I understand that any volunteer position or offer of a volunteer position is dependent on results of a background check. I further understand that I have no right to a volunteer position and that my position as a volunteer may be terminated immediately without cause and without notice at the sole discretion of the Archdiocese of Indianapolis, its schools, parishes, employees and agents.
I Agree Please select this field.

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