Lincoln 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
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Home Phone:
Cell Phone:
Preferred contact method
Date of Birth:
Month
/
Day
/
Year
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:
What prompted you to apply today?

Community Service Requirement?
Restrictions, Service hour needs or requirement:
If you checked "yes" above, please list number of hours needed
If you checked "yes" above, please list date your hours must be completed by

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 Photo, Video, and Voice Release Form permission given:
Use of Volunteer Release Form approval:

Digital Signature: