Please complete this application form if you are interested in becoming a Catholic Health Volunteer. Please pay close attention to your site selection. Once you complete the form, click the continue button at the bottom. All applications will be reviewed and applicants will be contacted by the volunteer office to arrange for an interview and discussion of next steps. Please allow at least two weeks for processing.

Contact Information

Please complete as indicated.


Assignment Preference

Please choose the location you wish to volunteer.


Skills & Experience


Availability

List the days and times you are usually available to volunteer. If this is a seasonal application, please list the dates you will be available (example Dec 10-Jan 20)


Emergency Contact

In the event of an emergency whom should we notify?


Reference

Please provide contact information for a non-related professional reference using full name (first and last), phone number and/or e-mail, and their relationship to you, please do not use your emergency contact as a reference.


Volunteer Information Center

We provide an online option where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the Volunteer Information Center.


Criminal Convictions

Please list any criminal convictions you have on record. This does not include simple traffic violations. Please leave blank if the answer is none.


Agreement

I understand and agree that submitting this application form does not automatically register me as a Catholic Health volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.
By submitting this form, I attest that the information I have provided on the form is true and accurate.