Volunteer Application About Us STVCC Staff Board of Directors Annual Report Contact Us Services Adoption Children’s Home Counseling Foster Care Immigration Law Clinic Refugee Services We C.A.R.E. Donate Ways To Give Donation Needs Collection Campaigns News & Events Stories Events Blog Videos Frequently Asked Questions Press Releases Community Partners Guardian Society Diocese of Lansing Corporate Partners Sponsors Get Involved Events Volunteer Internships Careers Journey of Hope Your Information Date of Application Other Names Used Date of Birth Your Email (required) Home Address (required) City (required) State (required) Zip (required) How Long at Current Address (required) Please List Your Other Addresses, if any, in the last seven (7) years: Home Telephone Other Phone at which we may contact you Emergency Contact First Name Last Name Relationship Telephone Have you lived in another state within the past 10 years? If you checked 'yes' you must have a FBI Background Check. YesNo What inspired you to volunteer with STVCC? How did you hear about STVCC? Where did you find the contact information for STVCC? Relevant Experience (Please describe prior volunteer experience; experience with persons with characteristics similar to those served by STVCC; education and work experience) List any other skills or experiences that might be useful in your volunteer placement: (computer skills, language, conferences, training, etc.) References: (Please identify 3 non-relative references) First Name Reference 1 Last Name Reference 1 Email Reference 1 Telephone Reference 1 How long have you known Reference 1? Nature of Relationship: How do you know Reference 1? First Name Reference 2 Last Name Reference 2 Email Reference 2 Telephone Reference 2 How long have you known Reference 2? Nature of Relationship: How do you know Reference 2? First Name Reference 3 Last Name Reference 3 Email Reference 3 Telephone Reference 3 How long have you known Reference 3? Nature of Relationship: How do you know Reference 3? Have you ever been convicted of a felony? If yes, please explain the circumstances: YesNo Availability What Are the Days of the Week That You Are Available? SundayMondayTuesdayWednesdayThursdayFridaySaturday Please specify the times of the day that you are able to volunteer Interests, Preferences, Skills To help us match you with an appropriate volunteer experience please check all the areas that would be of interest to you. Volunteer Descriptions can be found at stvcc.org/volunteering-opportunities. Administration Office/ClericalAgency EventAgency ResearchFaith Community LiaisonParish LiaisonAmbassador3rd Party (Fundraising) Child Welfare Office/ClericalMentorParenting Time AssistantTransporterWendy's Wonderful Kids Program Children's Home RecreationalTutorMentor Counseling Seasons: Supporting Families Through Serious Illness Assistant Facilities General Facilities Holiday Help Holiday Help Immigration Law Clinic Interpreter (Burmese, Hattian Creole, Farsi, Kareeni, Kinyarwanda, Nepali, Somali, Spanish, Swahili)Marketing & Communications Refugee Services Family Mentor Describe other preferences or interests: Why do you want to volunteer? Are there any situations or circumstances in which you are not comfortable? Which program are you MOST interested in volunteering with? AdministrationChild WelfareChild Welfare - Wendy'sChildren's HomeCounselingHoliday HelpImmigration Law ClinicRefugee ServicesFacilities In order for us to be able to process your application, please review and initial each of the statements below: I declare that all statements contained in this application are true and that any misrepresentation or omission may result in rejection of my application and/or termination of my relationship with St. Vincent Catholic Charities at any time. Volunteers who have been treated for other than minor illnesses may be asked to submit a statement from their physician that they are able to properly carry out their duties. Volunteers must provide their own medical insurance. The Diocesan Protected Loss Fund Program self funds an amount up to $5000 for medical expenses not covered by the volunteer's own medical insurance. I authorize you to conduct a criminal background check, as well as personal and professional background checks, for the purposes of consideration of this application. You may contact any references, past and current employers, and any other individual or organization that might be relevant to the position for which I am applying - except for those specifically excluded in writing on this application. I hereby release all of these references, employers and other individuals/organizations from any and all liability for damages that might occur in connection with the processing of this application. This organization prohibits and does not tolerate discrimination in any form, including harassment, that is based upon a persons protected status, such as sex, color, race, ancestry, religion, national origin, age, disability, medical condition, marital status, veteran status (including past, present or future application for, or membership in, a uniformed service), citizenship status, or other protected group status. This organization is an equal opportunity employer that makes, supports, and subscribes to a policy of nondiscrimination in all aspects of employment. The agency's practices are based on job qualifications without regard to race, color, religion, national origin, sex, age, height, weight, marital status, veteran status (including past, present or future commitments to the uniformed services), handicap or any other reason prohibited by applicable laws. My submissiom indicates that I have read all of the above statements, that I asked any questions I may have had, and that I fully understand all of these statements.