Please complete this application form if you are interested in becoming a St. Vincent's House volunteer. Once you complete the form, click the Continue button at the bottom.


Name and address


Emergency Contact


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Availability

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



Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Volunteer Ackknowledgement

1. It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability.

2. I recognize that as a volunteer at St. Vincent's House, on occasion it may be in the interest of the organization to use my name, portrait, photograph or likeness in making brochures, annual reports, annual reviews to staff, and/or other print, digital or broadcast publications.

3. I do hereby consent and authorize St. Vincent's House, it's advertising agents, publishers and the like to use my name and photograph for any purpose whatsoever related to the business, actual or projected, for a reasonable period of time, and also for a period of time of not less than one year after my relationship ceases or any revocation hereof by me, and agree that any revocation hereof must be in writing.

4. By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statement, omissions, or other misrepresentation made by me on this application may result in my immediate dismissal. I fully understand that failure to comply with all Volunteer Guidelines, policies and client privacy may result in termination of my relationship with St. Vincent's House. This agreement is entered into for the purpose of respecting and protecting all clients served through St. Vincent's House.