Professional Documents
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Date
Send Completed Application To: Michael E. McDonnell Director of Volunteer Relations Catholic Charities 721 N. LaSalle Street MC#111-2N Chicago, Illinois 60654
First City State Middle Zip Code Date of Birth Telephone Number (Day) Telephone Number (Evening)
Date Started
Date Ended
Degree
Major
E D U C A T I O N A L H I S T O R Y
High School
FOREIGN LANGUAGE(S):
Please list the foreign langauges(s) in which your knowledge is adequate for everday usage. Indicate whether you (S), (R) read, or (W) write the language.
Special training or qualification in your occupational field, including Memberships and Professional Organizations (please expalin):
EMPLOYMENT
Telephone
NO
Volunteer Work Preferred: Please note times that you are available to volunteer for a given day.
Direct Service
Seniors Meals on Wheels Children Homeless Veterans Senior Centers Refugees Transportation Tutoring Legal Mentoring Health Food Pantry Clothing Room Other:
Monday
Tuesday
Wednesday Thursday
Friday
Saturday
Sunday
Support Service
Mailings/ Office Support Computer Work Special Events/ Projects Fundraising Other:
Monday
Tuesday
Wednesday Thursday
Friday
Saturday
Sunday
EMERGENCY INFORMATION
Person to contact in case of emergency: Telephone
Address
REFERENCES
Please list three people that we may contact for references. Relatives may not be used. At least one of your references must be an employer (past or present) or professional person. Please list name, address, city, state and zip code as we contact your references by standard mail. I grant permision to Catholic Charities to contact the mentioned references
Signature
Date
Regular, ongoing volunteers are required to submit to a criminal background check. Will you grant Catholic Charities permission to conduct a criminal background check on you? ___ Yes ___ No Have you had a felony conviction which has not been annulled, expunged or sealed by a court? ___ Yes ___ No If yes, please explain: