Volunteer Application

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St. Helen's School 2008-2009 Volunteer Application

Online forms are available for your use in registration.
Please complete, print, sign (if applicable), and submit to the school office.

If you have any questions, please contact the office at 382-8225.

ROMAN CATHOLIC DIOCESE OF ALBANY: VOLUNTEER APPLICATION
Complete this form, print it out ('File', and 'Print' on your browser) and submit this as part of your registration packet to the school office.

Name:

Address:

City:

State / Zip:

Home Phone:

Business Phone:

Email Address:

Date of Birth:

SSN:

What is your present employment?

Supervisor Name:

Phone Number:

Please give two character references from people who have known you for two (2) or more years.

(Reference 1) Name:

Phone Number:

Address:

City:

State / Zip:

(Reference 2) Name:

Phone Number:

Address:

City:

State / Zip:

Have you ever been convicted of a crime, excluding a misdemeanor? YesNo

If yes, please explain. If you have been convicted of a crime other than a minor traffic offense, please state the following: the identity and location of
the court, case number, nature of conviction, date, sentence received, sentence served - including date and location, probation or parole officer and
the facts and circumstances related to the conviction.

I affirm under penalties of perjury, that the information contained in this application is true and complete to the best of my knowledge.
I consent and authorize the parish or its agents to undertake any and all investiagation it deems appropriate in connection with this application.

_____________________________________________________
Signature of Applicant ___________________________________
Date

NOTE: The names of potential volunteers will be submitted to the Register for Child Abuse for clearance.

			untitled Saint Helen's Home \| Main Registration Page Registration Pages: Educare \| Pre-K \| Nursery \| K-5 Registration Checklists: Educare \| Pre-K \| Nursery \| K-5

St. Helen's School 2008-2009 Volunteer Application


Online forms are available for your use in registration. Please complete, print, sign (if applicable), and submit to the school office. If you have any questions, please contact the office at 382-8225.

ROMAN CATHOLIC DIOCESE OF ALBANY: VOLUNTEER APPLICATION Complete this form, print it out ('File', and 'Print' on your browser) and submit this as part of your registration packet to the school office.

Name:
Address:
City:				State / Zip:
Home Phone:				Business Phone:
Email Address:
Date of Birth:				SSN:
What is your present employment?
Supervisor Name:				Phone Number:

Please give two character references from people who have known you for two (2) or more years.
(Reference 1) Name:				Phone Number:
Address:
City:				State / Zip:
(Reference 2) Name:				Phone Number:
Address:
City:				State / Zip:

Have you ever been convicted of a crime, excluding a misdemeanor? YesNo If yes, please explain. If you have been convicted of a crime other than a minor traffic offense, please state the following: the identity and location of the court, case number, nature of conviction, date, sentence received, sentence served - including date and location, probation or parole officer and the facts and circumstances related to the conviction. I affirm under penalties of perjury, that the information contained in this application is true and complete to the best of my knowledge. I consent and authorize the parish or its agents to undertake any and all investiagation it deems appropriate in connection with this application.

_____________________________________________________ Signature of Applicant				___________________________________ Date

NOTE: The names of potential volunteers will be submitted to the Register for Child Abuse for clearance.