Confirmation Volunteer Application

I am volunteering as: REQUIRED Middle School - 8th Grader High School - 9th - 12th Grader Please fill out this field.

Grade: REQUIRED Please fill out this field.

Youth Volunteer's School REQUIRED Please fill out this field.

Name of School if you selected "Other" from above list. Please enter valid data.

Please check ALL that apply: REQUIRED Set-Up Group Helper - 5th Grade Group Helper - 6th Grade Group Helper - 7th Grade Mass Assist - Assist with teaching Mass Roles Please fill out this field.

As a Group Helper you will follow the schedule of your assigned group. We appreciate you volunteering to help.

Dates available to Volunteer REQUIRED September 13 October 11 November 8 December 13 January 10 February 21 March 14 April 7 All of the Above Please fill out this field.

Service Hours Needed: REQUIRED Yes No Please fill out this field.

Volunteer Information

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

Last Name REQUIRED Please fill out this field. 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.
Phone Number REQUIRED

Please fill out this field. Please enter a phone number.
Your Church Parish REQUIRED Please fill out this field. Please enter valid data.
Allergies or Other Medical Conditions REQUIRED Please fill out this field. Please enter valid data.

**For ages 18 or Older** - Are you Child Protection Certified? Have you met the criteria as laid out by the Diocese? REQUIRED Please fill out this field.

I acknowledge and give permission for Holy Family to publish my photo on the website, bulletin and social media. REQUIRED Please fill out this field.

In Case of Emergency

Relationship REQUIRED Parent Guardian Please fill out this field.
Name REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED

Please fill out this field. Please enter a phone number.
Name Please enter valid data.
Phone Number Please enter valid data.

PLEASE NOTE: Ages 18 & Older - If you have not completed the background check information, please let us know. We will give you the paperwork to be completed.

Thank you for volunteering! If you have additional questions, please contact Elizabeth Schroeder, Director of Religious Education, at (225) 336-4463 or [email protected].