Please complete this application form if you are interested in becoming a St. Vincent de Paul Tacoma-Pierce volunteer. Once you complete the form, click the "continue" button at the bottom.

Name and address

First name:

Last name:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Cell phone:

Email address:

Date of birth:

(year optional)

How did you hear about Saint Vinnie's?

Do you have a specific number of hours you need?

If the hours are court ordered for an offense, how many hours have been assigned for community service?

If required, how many hours need to be completed?

If the court has required you complete community service, how many hours are said to be completed?

When do you need to complete required hours by?

Please enter the timeframe for which the hours need to be completed.

If hours are court ordered, what was the offense?

Please name the offense for which the court required community service has been assigned.

Do you have a criminal history?

If you have: a) ever been convicted of a felony or b) been convicted of a misdemeanor within the last 2 years which resulted in imprisonment or jail, please provide the dates and details of all the convictions.

Availability

Please indicate the days and times you are usually available to volunteer. (Also note that we do require a minimum of 3 hours per scheduled shift)

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

My availability is:

From:

to:

Medical information

Do you have any health conditions or limitations we should be aware of?

Emergency contact name and phone number

Please provide contact information for at least one emergency contact.

First name:

Last name:

Home phone:

Cell phone: