DIOCESE OF FRESNO

VOLUNTEER SERVICE APPLICATION

1550 N. Fresno Street

Fresno, California 93703

559-488-7400

We consider applicants for all positions without regard to race, color, gender, national origin, age, disability, marital or veteran status.

†††††††† MISSION STATEMENT

†††††††† As Godís beloved people we are called

in and through the Spirit

to live in unity and love

and to proclaim the Good News of Jesus,

especially amongst the poor and marginal of our society.

†††††††††††††††††††††††††††††††

APPLICATION INSTRUCTIONS†††† ††††††††††††††

1.†††††††††††† You must fully and accurately complete the Application for Volunteer Services. Incomplete†††† †††††††††††††† applications will not be considered. Resumes may not substitute for any part of the application.

2.†††††††††††† The Application for Volunteer Services will be considered inactive after 1 year. ††††††

3.†††††††††††† Volunteers for assignments designated as child care custodians involving unsupervised work with minors will require a clear criminal record summary. A clear criminal record summary must be received prior to beginning any unsupervised volunteer activity with minor children.††

 

††††††††††††††††††††††† Name†† ††††††††† |_____________________________________________

††††††††††† Home Address†††††††††††† |_____________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Address

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |_____________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† City, State, Zip

††††††††††††††† Home Telephone††††††††† |_____________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Area Code/Number

†††††††††††

†††††††††††††††††††††††††††††††††††††††††††††††

††††††††††† Volunteer Position††††††† |_____________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Volunteer Job Title

Date Available to Start|_____________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Date

Hours and Days Available ††††††† |_____________________________________________††††††††††††††††††††††††††††

Location of Position †††††††††††††††† |_____________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Diocesan Offices/Parish /School/Charity Name and City

 

Referred by††††††††††††††††††††††††††††† |_____________________________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Newspaper/Parish Bulletin/Employee/Volunteer flyer

 

Why would you like to volunteer? _______________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Please Check the following:†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† YES†††††††† NO††††††††

 

1.†††††††††††† Have you previously volunteered with the Diocese of Fresno?††††††††††††††††††††††††††††††††† |____††††† |____

††††††††††††††† Ifyes, when? |_______________†††††††††††††††††† Location |___________________

††††††††††††††††††††††††††††††† †† †††††††Date: From - To†††††††††††††††††††††††††††

††††††††††††††† Ministry |_______________________________________________________††††††††††††††††††††††††††††††

 

2.†††††††††††† Have you ever been convicted of a crime other that minor traffic violations ?†††††††† |____††† |____

††††††††††††††† If yes describe and state when the conviction occurred.††††††††††††††††††††††††††††††††††††††††††††† yes††††††††† no ††††††††††††††† |_____________________________________________________________________________

††††††††††††††† (A conviction may be relevant if volunteer job related, but will not necessarily disqualify you.)

Work History

††††††††††††††††††††††† Employer††††††††††† ††††††††††† |_____________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Name

††††††††††††††††††††††††††††††† Address††††††††††††† |_________________________________|_____________

††††††††††††††††††††††††††††††††††††††††††††††† Address††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† †††††††††††††† City, State, Zip

††††††††††††††††††††††††††††††† Phone†††††††††††††††† |_______________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Area Code - Number

††††††††††††††††††††††††††††††† Position Held††††††† |_______________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Title

††††††††††††††† Type of Business†††††††††††††††††† |_______________________________________________

††††††††††††††† Dates of Employment†††††††† |_____________________†††††††††††††††† |_________________

††††††††††††††††††††††††††††††††††††††††††††††† From †††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† To

††††††††††††††† Immediate Supervisor††††††††† |_______________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Name/Title

Duties and Responsibilities†††††††††††††† |†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ††††††††††† |_______________________________________________

May We Contact This Employer For a Reference? |____ |____ If No, why?_________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† †††††††† yes†††††††††††††† no††††††††

†††††††††††††††††††††††††††††††††††††††††††††††

††††††††††††††††††††††† Employer††††††††††††††† ††††††††††† |_____________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Name

††††††††††††††††††††††††††††††† Address††††††††††††† |_________________________________|_____________

††††††††††††††††††††††††††††††††††††††††††††††† Address††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† †††††††††††††† City, State, Zip

††††††††††††††††††††††††††††††† Phone††††† ††††††††††† |_______________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Area Code - Number

††††††††††††††††††††††††††††††† Position Held††††††† |_______________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Title

††††††††††††††† Type of Business†††††††††††††† |_______________________________________________

††††††††††††††† Dates of Employment†††††††† |_____________________†††††††††††††††† |_________________

††††††††††††††††††††††††††††††††††††††††††††††† From †††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† To

††††††††††††††† Immediate Supervisor††††††††† |_______________________________________________

††††††††††††††††††††††††††††††††††††††††††††††† Name/Title

††††††††††††††† Duties and Responsibilities†† |†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ††††††††††† |_______________________________________________

May We Contact This Employer For a Reference? |____ |____ If No, why?_________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† †††††††† yes†††††††††††††† no††††††††

EDUCATION†††††††††††††††††††††††

††††††††††††††††††††††††††††††††††† Name and ††††††††† ††††††††††††Years of Did you

Type of School††††††††††††††††††††† Address††††††† †††††††††††††††††††††††† Schooling††††††††††††† Graduate†††††††††††††† Major†† Degree

High School

 


College

 


Post Graduate

 


Business/Trade

 


Other

 

References

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |______________________________________________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Name and Occupation

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |________________________________________†††††††††††††† |_______________

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††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |_____________________________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† PhoneArea Code - Number††††††††††††††††††††††††††††††††††††††††††††††††††††

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††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |______________________________________________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Name and Occupation

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |________________________________________†††††††††††††† |_______________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Address††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† City, State, Zip

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |_____________________________________________

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††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |______________________________________________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Name and Occupation

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |________________________________________†††††††††††††† |_______________

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††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† |_____________________________________________

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†††††††††††††††††††††††††††††††

 

PLEASE READ VERY CAREFULLY

 

I authorize the Bishop of the Roman Catholic Diocese of Fresno, or his designee, (Diocese) to communicate with persons listed as references, former employers, and any others with whom you desire to check. I agree to hold such persons harmless with respect to any information they may give about me.

 

IAM VOLUNTEERING MY TIME AND SERVICES WITHOUT ANY PRESENT OR FUTURE EXPECTATION OF PAYMENT OF ANY KIND. I ACKNOWLEDGE THAT THIS IS NOT AN EMPLOYMENT RELATIONSHIP, THAT I AM UNDER NO OBLIGATION AS TO TIME, DUTIES OR RESOURCES OTHER THAN WHAT I FREELY CHOOSE TO PROVIDE TO MY CHURCH OR SCHOOL.

 

I understand that volunteer work with the Diocese is employment ďat willĒ. My volunteer activity is at-will may be terminated with or without cause and with or without notice at any time by the volunteer or the Diocese.

 

I agree to conform to the volunteer policies of the Diocese. I understand that the completion of this Volunteer Application does not guarantee that I have been or will be a volunteer with the Diocese.

 

I hereby affirm that my answers to these statements and questions are true and correct to the best of my knowledge. I have not knowingly withheld any fact or circumstance that would, if disclosed, affect my application unfavorably. I understand that any misrepresentation, deception or false statement made in this application may result in my not being considered for volunteer work, and if not discovered by the Diocese until after my beginning my assignment, is grounds for, and may result in, my immediate termination of my volunteer duties.

 

Signed_________________________________________††††††††††††††††††† Date__________________

 

†††††††††††