Volunteer

Legal First Name REQUIRED Please fill out this field. Please enter valid data.

Legal Middle Name REQUIRED Please fill out this field. Please enter valid data.

Legal Last Name REQUIRED Please fill out this field. Please enter valid data.

Languages you speak REQUIRED English Spanish Vietnamese Please fill out this field.

Birth Month/Day (ex. 09/21) Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Cell Phone REQUIRED Please fill out this field. Please enter a phone number.

Alternate Phone Number Please enter a phone number.

Do you have Safe Environment Training? (expires every year on July 31) REQUIRED Yes No Please fill out this field.

Date of Safe Environment Training (month/year) REQUIRED Please fill out this field. Please enter valid data.

Location of Safe Environment Training REQUIRED Please fill out this field. Please enter valid data.

All volunteers must be Safe Environment Trained before serving at the Discipleship Confernece. Please contact your parish or email [email protected] if you need assistance.

Volunteer Interests (check all that apply) REQUIRED OPTION 1 OPTION 2 OPTION 3 OPTION 4 OPTION 5 Please fill out this field.

Volunteer Availability (check all that apply) REQUIRED OPTION 1 OPTION 2 OPTION 3 OPTION 4 OPTION 5 Please fill out this field.

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Relationship REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.