Volunteer Form

Contact Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Street Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.
Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Safe Environment Agreement

Diocesan policy requires all adult volunteers (18 & up), who work with children, attend a Protecting God’s Children workshop, be fingerprinted, and have a background check. Additional fingerprints/background checks AND the A Plan to Protect God's Children 4.0 onine training are requested after every 5 years. Teen volunteers (14-17) are required to complete the Healthy Relationships for Teens 2.0 onine training.
Do you agree with these requests? REQUIRED Yes No Please fill out this field.
ADULTS ONLY - Have you attended a "Protecting God's Children" workshop? REQUIRED Yes No Please fill out this field.
If "Yes," when and where
ADULTS ONLY - Have you completed a background and fingerprint for the Diocese of St. Augustine within the last 5 years? REQUIRED Yes No Please fill out this field.
If "Yes," enter the date Please enter valid data.
TEENS ONLY - Have you taken the "Healthy Relationships for Teens 2.0" online training? Yes No
If "Yes," enter the date Please enter valid data.

Volunteer Interests / Preferences

How would you prefer to spend your time volunteering with us? REQUIRED Please fill out this field.
Best Days and Times REQUIRED Please fill out this field. Please enter valid data.
Is there someone with whom you would like to volunteer at St Joseph? REQUIRED Yes No Please fill out this field.
If "Yes," with whom?
First Name Please enter valid data.

Last Name Please enter valid data.

References (Please list two)

1ST REFERENCE
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
2ND REFERENCE
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Commitment Statement / Agreement

I understand, by signing this form, I accept the importance of my volunteer work I will provide for St. Joseph PREP and have every intention of living up to my commitment. I also understand that data, materials, and knowledge I may be exposed to shall be deemed as confidential information and should not be shared with others.
Signature:
DISCLAIMER: By typing your name below, you are signing this agreement electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this form.
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Date Signed REQUIRED Please fill out this field. Please enter a date.

Comments

Confirmation Email Please enter an email address.