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



    Have you lived in another state within the past 10 years?
    If you checked 'yes' you must have a FBI Background Check.

    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:


    What Are the Days of the Week That You Are Available?

    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

    Office/ClericalAgency EventAgency ResearchFaith Community LiaisonParish LiaisonAmbassador3rd Party (Fundraising)

    Child Welfare
    Childcare for Support GroupsOffice/ClericalMentorParenting Time AssistantTransporterWendy's Wonderful Kids Program

    General Facilities

    Holiday Help
    Holiday Help

    Immigration Law Clinic
    Interpreter (Burmese, Hattian Creole, Farsi, Kareeni, Kinyarwanda, Nepali, Somali, Spanish, Swahili)

    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?

    In order for us to be able to process your application, please review and check the box for 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.

    I authorize you to conduct a criminal background check and clearances for the purposes of this application. You may contact any references and any other individual or organization that might be relevant to the position for which I am applying.

    St. Vincent Catholic Charities is proud to serve people of all beliefs and backgrounds. Our staff, volunteers, interns, and clients are respected and treated with compassion and dignity. We value everyone’s individuality and contribution to the work of St. Vincent Catholic Charities and believe our diversity is our strength. As a non-profit agency (and equal opportunity employer), we abide by all federal, state, and local laws. We adhere to the social teachings of the Catholic Church and create a culture where all are welcome.

    My submission 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.