Please complete this application form if you are interested in becoming a St. Vincent de Paul of Baltimore volunteer. All volunteers must submit an application before they are able to volunteer. All fields with an * are required (if you do not have an email address, write "None" in the email address box). Please indicate the name of your school or employer if applicable.

Once you complete the form, click the CONTINUE button at the bottom of the page. Volunteers must be at least 13 years of age. Volunteers under the age of 18 will also be required to submit a parental consent form.

General Information

Please submit your complete mailing address and phone number.

Availability

Please indicate the days and times you are usually available to volunteer.

Emergency Contact Information

Please provide the name of someone we can notify in case of emergency (if under 18, please provide the name of a parent or guardian).

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Primary Phone phone:

Secondary Phone phone:

Email address:

Relationship:

Site and Assignment Preferences

Affidavits and Releases

St. Vincent de Paul of Baltimore [SVDP] appreciates your willingness to share your talents and skills. Providing safe and secure programs is of utmost importance to us. The information gathered in this application is designed to help us provide the highest quality programs for the people in our community. Please note: Answering yes does not necessarily prohibit you from volunteering at SVDP or any of its programs.

Have you ever:

Been terminated from volunteer service?:

Been accused of child abuse?:

Been convicted of a crime?:

Had your driver's license suspended?:

Please explain any "yes" answers.

Affidavits and Releases

AFFIDAVITS AND RELEASES --

I understand and agree that false statements and/or omissions regarding past conduct and/or present situations are cause for rejection of my application or dismissal from my volunteer service. I agree to observe all of St. Vincent de Paul guidelines and policies, as stated in Volunteer Handbook, for in which I am applying.

I understand that the St. Vincent de Paul takes all allegations of abuse seriously. I further understand that the St. Vincent de Paul cooperates fully with the authorities to investigate all cases of alleged abuse. Abuse of minors or vulnerable adults is grounds for immediate dismissal and possible criminal charges. I hereby authorize the SVDP and the above named organization to conduct a personal and professional background check for the purpose of my application. They may contact references; past and current employers; churches, youth organizations, or agencies where I have provided volunteer service; and any other individual or organization that may have information relevant to my application.

In consideration of the opportunity to volunteer in this program, I agree to RELEASE AND HOLD HARMLESS AND INDEMNIFY, St. Vincent de Paul of Baltimore, and its programs, and all their agents, servants, and employees from any liability, claims, demands and causes of action arising out of or relating to any loss, damage or injury sustained in connection with or arising out of my participation in this volunteer program.

I hereby grant permission to any staff person to obtain medical care from a licensed physician, hospital or medical clinic for me in the event that I should become ill or injured.

I hereby grant permission to St. Vincent de Paul of Baltimore to use any and all photographs or videotape on websites or other materials produced from time to time by SVDP.

I hereby release all of the above stated entities and their agents from any and all liability in connection with providing information, investigating or evaluating my application. I waive any right that I may have to inspect any information provided about me in connection with this application. I have read and understood the above stated information within this release and am signing below of my own free will.

I Agree