Please complete this application form if you are interested in becoming a St. Vincent de Paul of Baltimore Good Harvest volunteer. All volunteers must submit an application before they are able to volunteer. All fields marked with an * are required. If you do not have an email address, write "none" in the email address box.

Once you complete the form, click the Continue button at the page. Volunteers under the age of 18 will also be required to submit a parental consent form.

General Information

First name:

Last name:

Middle name:

Title:

Nickname:

Group name (organization, church, etc):

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Primary Phone phone:

* OK to call me here

Secondary phone phone:

OK to call me here

Email address:

School:

Employer:

Under 18:

Languages Spoken:

Please list other languages spoken.

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.

Date of birth:

(year optional)

Gender:

Education:

Availability

Please indicate the days and times you are usually available to volunteer. Please note that there are no evening or weekend shifts at Good Harvest. Do not complete this application if you are not available for any of the shifts below.

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.

What kinds of email would you like to receive?

Electronic newsletters
I would like to receive the St. Vincent de Paul e-newsletter.

Recruitment appeals
I would like to be notified about volunteer openings.

Emergency Contact Information

Please provide the name of someone we can notify in the case of an emergency (if under 18, please provide the name and information 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:

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