Catholic Social Services of Southern Nebraska Volunteer Application

Thank you for giving us the gift of your time and talent!

We can't wait to meet you and work together!

Please note: Due to COVID-19, our volunteer opportunities may be slightly adjusted. Thank you for your patience and understanding.

Basic Information
Gender:
Country
Address Line 1
Address Line 2
City
State
Postal Code
Home Phone:
Cell Phone:
Preferred contact regarding volunteer opportunities (select one):
Date of Birth:
/
/
Your Occupation:
Your Availability:
Are you willing to be on-call?

Emergency Contact
Emergency Contact Name:
Emergency Contact Phone:
Emergency Contact Relation:

Reference
Reference Name:
Reference Phone:
Reference Relation:

Other Information
Have you previously completed Safe Environment training and a background check for the Diocese of Lincoln?
Choose one:

Volunteer Positions: Check all areas of interest

St. Joseph Center
Refugee Program
St. Gianna Women's Homes
Parish and School Opportunities
General
Areas of Interest Not Listed:

Restrictions, Service hour needs or requirement:

Digital Signature: