Auburn Region 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
Date of Birth:
Address Line 1
Address Line 2
Postal Code
Home Phone:
Cell Phone:
Your Occupation:
Availability (indicate when available)
Your Availability:

Other Information
Diversion details
Restriction details

Have you previously completed Safe Environment training and a background check for the Diocese of Lincoln?

Choose one:

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

Reference Information
Reference Name:
Reference Phone:
Reference Relation:

Volunteer Positions: Check all areas of interest

Volunteer position:

Duties may include:

-Help donors unload if needed


  • -Keep items organized
  • -Large appliances/furniture only


-Box Truck:

  • -Keep items organized
  • -Totes/boxes/bags/small appliances only
  • -Keep items moved to the front of the box truck

Volunteer position:

Duties may include:

  • -Interact with customers
  • -Answer phone when able
  • -Disinfect high-touch surfaces (register area)
  • -Dust (register area)
  • -Vacuum (register area)

Volunteer position:

Duties may involve:

  • -Interact with customers
  • -Aide person at register (when needed)
  • -Disinfect high touch surfaces (middle and furniture room)
  • -Dust (middle and furniture room)
  • -Vacuum (middle and furniture room)

Volunteer position:

Duties may involve:

  • -Clean/test
  • -Tag items
  • -Measure fabrics (fold, bind/mark size)
  • -Bedding/Curtains (size, bind/mark size)

Volunteer position

Duties may involve:

  • -Move items to and from floor
  • -Organize
  • -Sweep
  • -Trash

Areas of Interest Not Listed:
Use of Volunteer Photo, Video, and Voice Release Form

I give Catholic Social Services of Southern Nebraska (CSS), consent to record, videotape, photograph my image, and/or voice in relation to the mission of CSS. These items may be used in the following ways while volunteering at CSS:

  • Company Intranet accessible by employees only
  • Company Website accessible via the World Wide Web to anyone
  • Printed employee newsletter
  • Printed client/donor communications (i.e. Catholic Register Newspaper)
  • Company Print/Digital Marketing Materials
  • Printed annual report
  • Company social media platforms (i.e. Facebook, etc.)

I understand that no special compensation will be provided to me for the use of my image and that I may not be informed in advance of the specific use of my image. I further understand that I may opt-out of this practice upon providing written authorization to CSS.

Use of Volunteer Release Form approval:
Digital Signature: