CCHS Volunteer Application
The information obtained in this application is for internal use of Carmel Catholic High School.
First Name and Initial
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Last Name
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Social Security Number
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Street Address
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City
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State
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Zip Code
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Home Phone
Business Phone
Date of Birth
Occupation
Employer
Business Address
Years at this Employement
Volunteer Position
Driver's License Number
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State
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Expiration
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Volunteer Background - Position - Organization - Year
Experience working with youth in other organizations
Previous Residences (for the last 7 years)
Current memberships - religious, community, business or professional organizations
References. Please list three individuals (name and phone number) who are familiar with your character.
Please list a family member who can attest to your character. (name and phone number)
Do you use illegal drugs?
Please Select
Yes
No
Have you ever been convicted of a crime?
Please Select
Yes
No
If yes, please explain
Have you ever been the subject of an investigation involving sexual abuse?
Please Select
Yes
No
If yes, please explain
Has your driver's license ever been suspended or revoked?
Please Select
Yes
No
If yes, please explain
Other than the above, is there any fact or circumstance involving you or your background that would call into question your being entrusted with the supervision, guidance, and care of young people?
Please Select
Yes
No
If yes, please explain
I understand that:
a. My services to Carmel Catholic High School are on a voluntary basis and I am not entitled to nor shall I receive any compensation or employee benefits of any kind.
b. The information that I have provided may be verified, if necessary, by contacting persons or organizations named in this application, or by contacting any person or organization that may have information concerning me, or by conducting a criminal background check. I hereby release and agree to hold harmless from liability any person or organization that provides information. I also agree to hold harmless Carmel Catholic High School, and the officers, employees, and volunteers thereof.
c. By signing this application, I have read the attached information and apply for registration as a volunteer with Carmel Catholic High School. I agree to comply with the policies, rules, and regulations of Carmel Catholic High School. I affirm that the information I have given on this form is true and correct.
Signature
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Date
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You must type your name and date in the box above. By checking this box, I authorize this as confirmation of my signature.
Check this box to authorize confirmation of your signature
Submit Form
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