Volunteer Application Form

  • Volunteer Application Form

  • Appendix A of the Policy for the Protection of Children and Youth

  • Personal Information

  • Format: (000) 000-0000.

  • Current Employer

  • Previous Employer

  • Format: (000) 000-0000.

  • Previous Volunteer Experiences

    You must include two pertinent experiences working with children or youth.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Educational History

  • Program completed?*
  • Program completed?*

  • Personal Reference

  • Format: (000) 000-0000.

  • Background

  • Have you ever been convicted of a felony or misdemeanor?*
  • Have you ever been accused of physically, sexually, or emotionally abusing a child or an adult?*
  • Do you have any traits or tendencies that might pose a threat to children, youth, or adults with disabilities? (examples, pornography, anger management, dependency on controlled substances)*

  • Appendix C of the Policy for the Protection of Children and Youth

  • Please read and initial each item to signify your agreement to comply with the statement.

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  • I certify the following to be true
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  • Appendix D of the Policy for the Protection of Children and Youth

  • To the best of my knowledge, the information contained in this application is complete and accurate. I understand that providing false information is grounds for not hiriting me or choosing me for a volunteer position or for my discharge if I have already been hired or chosen. I authorize any person or organization, whether or not identitied in this application, to provide any information concerning my previous employment, education, credit history, driving record, criminal conviction record, sexual offender registry or other qualifications for my employment or volunteering. I also authorize St. Paul's Epsciopal Church to request and receive such information. 

    If hired or chosen, I agree to be bound by St. Paul's Episcopal Church's politices and procedures, inclduing but not limited to its Policies for the Protection of Children and Youth from Abuse and its Code of Conduct for the Protecion of Children and Youth. I understand that these may be changed, withdrawn, added to or interpreted at any time at St. Paul's Epsicoal Church's sole discretion and without prior notice to me. 

    I also understand that my employment or voluntetering may be terminated, or any offer or acceptance of employment or volunteering withdrawn, at any time, with or without cause, and with or without prior notice at the option of St. Paul's Episcopal church or myself. 

    Nothing contained in this application or pre-volunteering communication is intended to or creates a contract bentween myself and St. Paul's Episcopal church for either employment, volunteering or the providing of any benefit. 

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