DIOCESE OF
VOLUNTEER SERVICE APPLICATION
559-488-7400
We consider applicants for all positions without regard to race, color, gender, national origin, age, disability, marital or veteran status.
As
God’s beloved people we are called
in
and through the Spirit
to
live in unity and love
and
to proclaim the Good News of Jesus,
especially amongst the poor and marginal of our society.
APPLICATION
INSTRUCTIONS
1. You must fully and accurately complete the Application
for Volunteer Services. Incomplete applications will not be
considered. Resumes may not substitute for any part of the application.
2. The Application for Volunteer Services will be
considered inactive after 1 year.
3. Volunteers for
assignments designated as child care custodians involving unsupervised work
with minors will require a clear criminal record summary. A clear criminal
record summary must be received prior to beginning any unsupervised volunteer
activity with minor children.
Name
|_____________________________________________
Home Address |_____________________________________________
Address
|_____________________________________________
City, State, Zip
Home Telephone |_____________________________________________
Area Code/Number
Volunteer Position |_____________________________________________
Volunteer Job Title
Date
Available to Start |_____________________________________________
Date
Hours
and Days Available |_____________________________________________
Location
of Position |_____________________________________________
Diocesan Offices/Parish
/School/Charity Name and City
Referred
by |_____________________________________________
Newspaper/Parish
Bulletin/Employee/ Volunteer flyer
Why would you
like to volunteer?
_______________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please Check the following: YES NO
1. Have you previously volunteered with the Diocese of Fresno? |____ |____
If yes, when? |_______________ Location |___________________
Date: From - To
Ministry |_______________________________________________________
2. Have you ever been convicted of a crime other that minor traffic violations ? |____ |____
If yes describe and state when the conviction occurred. yes no |_____________________________________________________________________________
(A conviction may be relevant if volunteer job related, but will not necessarily disqualify you.)
Work History
Employer |_____________________________________
Name
Address |_________________________________ |_____________
Address City, State, Zip
Phone |_______________________________________________
Area Code - Number
Position Held |_______________________________________________
Title
Type of Business |_______________________________________________
Dates of Employment |_____________________ |_________________
From To
Immediate Supervisor |_______________________________________________
Name/Title
Duties
and Responsibilities | |_______________________________________________
May
We Contact This Employer For a Reference? |____ |____ If No, why?_________
yes no
Employer |_____________________________________
Name
Address |_________________________________ |_____________
Address City, State, Zip
Phone |_______________________________________________
Area Code - Number
Position Held |_______________________________________________
Title
Type of Business |_______________________________________________
Dates of Employment |_____________________ |_________________
From To
Immediate Supervisor |_______________________________________________
Name/Title
Duties and Responsibilities | |_______________________________________________
May
We Contact This Employer For a Reference? |____ |____ If No, why?_________
yes no
EDUCATION
Name and Years of Did you
Type of School Address
Schooling Graduate Major Degree
High
School
College
Post
Graduate
Business/Trade
Other
References
|______________________________________________________________
Name
and Occupation
|________________________________________ |_______________
Address City,
State, Zip
|_____________________________________________
Phone Area Code - Number
|______________________________________________________________
Name
and Occupation
|________________________________________ |_______________
Address City,
State, Zip
|_____________________________________________
Phone Area Code - Number
|______________________________________________________________
Name
and Occupation
|________________________________________ |_______________
Address City,
State, Zip
|_____________________________________________
Phone Area Code - Number
PLEASE READ VERY CAREFULLY
I authorize the Bishop of the Roman Catholic Diocese of
I AM VOLUNTEERING MY TIME AND SERVICES WITHOUT
ANY PRESENT OR FUTURE EXPECTATION OF PAYMENT OF ANY KIND. I ACKNOWLEDGE THAT
THIS IS NOT AN EMPLOYMENT RELATIONSHIP, THAT I AM UNDER NO OBLIGATION AS TO
TIME, DUTIES OR RESOURCES OTHER THAN WHAT I FREELY CHOOSE TO PROVIDE TO MY
CHURCH OR SCHOOL.
I understand that volunteer work with the
Diocese is employment “at will”. My volunteer activity is at-will may be
terminated with or without cause and with or without notice at any time by the
volunteer or the Diocese.
I agree to conform to the volunteer
policies of the Diocese. I understand that the completion of this Volunteer
Application does not guarantee that I have been or will be a volunteer with the
Diocese.
I hereby affirm that my answers to these
statements and questions are true and correct to the best of my knowledge. I
have not knowingly withheld any fact or circumstance that would, if disclosed,
affect my application unfavorably. I understand that any misrepresentation,
deception or false statement made in this application may result in my not
being considered for volunteer work, and if not discovered by the Diocese until
after my beginning my assignment, is grounds for, and may result in, my
immediate termination of my volunteer duties.
Signed_________________________________________ Date__________________