Volunteer Application

VOLUNTEER INFORMATION

Name*:
Phone (primary)*:
Phone (work):
Phone (cell):
Email*:
Birth Date (mm/dd/yy)*:

ADDRESS

Street*:
City*:
State*:
Zip*:
How long have you lived at your current address?*:
PREVIOUS ADDRESS
Street:
City:
State:
Zip:
How long did you live at previous address?:

EMERGENCY CONTACT

Emergency Contact Name*:
Emergency Contact Phone*:
Emergency Contact Relationship*:

EDUCATION

High School*:
College:
Vocational/Technical School:

WORK EXPERIENCE

Work Experience*:

VOLUNTEER EXPERIENCE

Current Volunteer Experience:
Previous Volunteer Experience:
Do you know anyone working at St. Anne's?*:
If yes, what is their name:

PERSONAL REFERENCES

Reference #1 - Name*:
Reference #1 - Phone*:
Reference #1 - Address*:
Reference #2 - Name*:
Reference #2 - Phone*:
Reference #2 - Address*:
Reference #3 - Name*:
Reference #3 - Phone*:
Reference #3 - Address*:

ABOUT YOU

Hobbies, Skills & Special Interests*:
WHERE WOULD YOU LIKE TO VOLUNTEER:
Activities:
Personal Care:
Friendly Visitor:
Auxiliary Gift Shop:
Thrift Shop:
Good Samaritan:
Other:
When Can You Volunteer*
Sunday:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Please Note: Sunday volunteer hours are only available for Gift Shop and Good Samaritan volunteers.
My Committment Will Be:
Ongoing:
Temporarily:
Hours:
Summer Hours:
Winter Hours:
Do you need any accommodations to do the volunteer tasks selected?:
Please Note: The Volunteer Coordinator will have a conference with you concerning your needs for accommodation.
Why you are interested in volunteering at St. Anne's?*:
Church Affiliation (optional):
Additional Information, Questions or Comments:

AGREEMENT

Before volunteers are accepted, they will be required to have a criminal background check completed by the volunteer (form provided). They will also need to provide proof of a COVID vaccination and a negative PPD test for tuberculosis – administered by St. Anne’s at no charge).

I give permission to St. Anne’s to contact any listed person, school, business or volunteer places of services as reference sources and conduct the required criminal background investigation. I also give permission for my phone number and email to be utilized by St. Anne’s including the Auxiliary, for the purpose of volunteering and fundraising events.

By checking this box, I acknowledge I have read the agreement above: