Request To Volunteer Service English

Request To Volunteer Service

DIOCESE OF FRESNO
MISSION STATEMENT
As God's beloved people we are called in and through the Spirit to live in unity and love and to proclaimthe Good News of Jesus, especially amongst the poor and marginal of our society.
Volunteer Full Name
Full Name*

First Name / NombreLast Name / Apellido
NOTE: Volunteers who serve where minors may be present are required to meet all applicable SafeEnvironment requirements up to and including: Background Check, Fingerprinting, Safe Environment Training andsigning of the Diocese of Fresno Code of Conduct.
I AM OVER 18 YEARS OLD?*

YESNO
Address*

Domicilio

Street Address Line 2

City / CiudadState / Province

Zip / Codigo Postal
City*

Ciudad

Street Address Line 2

City / CiudadState / Province

Zip / Codigo Postal
Zip *

Street Address Line 2

City / CiudadState / Province

Zip / Codigo Postal
Email*
example@example.com
Cell Phone Number*
Teléfono Celular
Home Phone Number*
Teléfono de Casa
Personal Reference:
Personal Reference Phone Number
Teléfono de Casa
Church
Parroquia
City
Ciudad
Emergency Contact Information

In the event of an emergency please provide the name, and phone number of an individual that you would like us to contact.
Emergency Contact (Full Name)*
Nombre de Contacto de Emergencia
Relation:*
Relación:
Emergency Contact (Cell Phone Number)*
Teléfono de Contacto de Emergencia
Emergency Work Phone Number
Teléfono de Casa
Availability / Disponibilidad
Volunteer at / Voluntario en*

At St. Anthony of Padua OnlyAt St. Agnes Mission Only
Days / Días*

Monday @ St. Anthony of PaduaTuesday @ St. Anthony of PaduaWednesday @ St. Anthony of PaduaThursday @ St. Anthony of PaduaFriday @ St. Anthony of PaduaSaturday @ St. Anthony of PaduaSunday @ St. Anthony of Padua
Preferred Time (ST. ANTHONY OF PADUA ONLY)*
Hora Prederida
Preferred Time (ST. AGNES ONLY)*
Hora Prederida
OTHER TIME (PLEASE ENTER IF DIFFERENT FROM ABOVE)
I am interested in volunteering my services as:*
NOTE: If you are serving or would like to serve in another ministry, please select below: OTHER MINISTRY
OTHER MINISTRY:
I am ALSO interested in volunteering my services as:
OTHER MINISTRY:
I am ALSO interested in volunteering my services as:
Do you have any particular knowledge, skills and/or abilities you would like' to share as a volunteer?
¿Tiene algún conocimiento en particular, habilidades y/o talentos que le gustaría compartir como voluntario(a)?
DIOCESE OF FRESNOCODE OF CONDUCT
Any Violation of this Code by a member of the clergy, employee or volunteer involving a minor orvulnerable adult shall result in disciplinary action, up to and including dismissal.I have read and I understand the Diocese of Fresno’s Code of Conduct for clergy, employees andvolunteers) and I commit to uphold this code in my area of service.
I am volunteering my time and services without any present or future expectation of
payment/compensation of any kind. I acknowledge that my selection as a volunteer is not a job offer and
does not constitute an employment relationship. As such, I am under no obligation as to time, duties or
resources other than what I freely choose to provide to the Diocese of Fresno, any church, school, or
entity owned/operated by tlie Diocese of Fresno.

I understand and agree that the completion and submittal of this Request to Volunteer Services
does not guarantee that I have been selected or will be selected to serve as a volunteer with the ·
Diocese Fresno.
Volunteer Signature *

Clear
Date:

MonthDayYear
Fecha
Recipient Signature:
Solicitud Recibida por
Thank You for Your Time, Talent and Treasure

ST. ANTHONY OF PADUA CATHOLIC CHURCH, FRESNO
Should be Empty:

Request To Volunteer Service

Volunteer Full Name

Emergency Contact Information

Availability / Disponibilidad