VOLUNTEER MINISTRY APPLICATION
MAIL, FAX, BRING IN OR EMAIL THIS APPLICATION
Attn: Volunteer Coordinator
1501 N. Classen Boulevard
Oklahoma City, OK 73106-6611
Phone: (405) 523- 3009 Fax: (405) 523- 3030
[email protected]
Please print clearly and complete each section
Under 18 requires parent signature
MUST COMMIT TO AT LEAST 80 HOURS OF VOLUNTEER SERVICE (may be spread out throughout year)
Name
Phone
Last
First
(Hm)
Address
MI
(Wk)
City
State
(Cell)
Zip
Email
Driver’s License #/State
Exp Date
Current Employer
DOB
Position
Employer Address
Phone
Are you able to commit to at least 80 hours of volunteer service?
Yes
No
Please check days and time available
Mon
Tues
Wed
Thurs
On what basis would you like to volunteer?
Fri
As needed
Steady
How many hours a week/month do you want to volunteer?
AM
On Call
PM
Special Events
hrs wk/mth (circle one)
Volunteer hours needed (if applicable)
Do you have a certain number of hours needed and/or a deadline? If so, what are they and for what
purpose?
Type of volunteer work preferred:
Please list any special skills, hobbies, and special interests you have that may be helpful in your
volunteer work. If you speak a second language, please specify, and indicate whether you would be
willing to help as an interpreter.
VOLUNTEER MINISTRY APPLICATION
What education or training (formal or informal) do you have relating to volunteering in this position?
Church where you are currently a member (if applicable):
How did you learn of Catholic Charities’ Volunteer Ministry Program?
Physical limitations (we will not ask you to complete a task that you are physically unable to perform):
For what other organizations have you volunteered?
Have you ever been asked to resign from a volunteer position?
Have you ever been convicted of a felony?
Yes
Yes
No
No
If yes, please provide date, offense, and sanctions imposed:
Do you agree to disclose any future felony convictions?
Yes
No
In case of emergency, contact:
Name
Relationship
Phone
Please list three personal references not related to you
NAME
PHONE (Wk/Hm/Cell)
1.
2.
3.
I hereby allow Catholic Charities to perform a check of my background, including criminal record, driving record,
past employment/volunteer history, educational/professional status, personal references and other persons as
appropriate for the volunteer jobs in which I have express an interest. I understand that I do not have to agree to
this background check, but that refusal to do so may exclude me from consideration for some types of volunteer
work. I understand that information collected during this background check will be limited to what is appropriate
in determining my suitability for particular types of volunteer work and that all such information collected during
the check will be kept confidential.
Signature
Date
Signature of Parent
(if under 18)
Date