Volunteer Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Personal Reference Name *

First Name

Last Name

Personal Reference Name *

(###)

###

####

Why are you required to complete volunteer or community service hours?

Please complete this section only if you have required hours to complete.

Religious Education

Court-ordered Community Service

High School Requirement

College/University Requirement

Other - Please note in comment section

When do you need to complete your hours?

MM

DD

YYYY

Why do you want to volunteer? *

Church

Word of Mouth

Website

Court Ordered Program

Catholic Charities Employee

Other - Please note in comments section