Parish/School Name: blanks Location: blank
Please indicate if you are: blanks A current employee or volunteer for this parish or school. blank What position?
Please specify your parish/school. If not a member of a parish, or associated with a school, please leave blank: blanks Parish/School. blank City
Volunteer history should include 5 of your most recent activities. If you are still participating in a volunteer program, then indicate “to” date as current.
Start with most recent dates
If Yes: When blanks Where blank
Please read and mark the checkbox next to each of the statements below:
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.