St. John Vianney Parish & All Saints School Application for Volunteer Position Position applying for: * Date * Name * First, Middle & Last Street Address * City * Zip Code * Phone Number * Home Work Cell Email Address Parishioner at SJV? * Yes No If No, where? Date of Birth * Gender * Male Female Current Employer Occupation In case of Emergency, contact: Name * Relationship to you * Street Address * City * Zip Code * Phone Number * Home Work Cell Church History and Prior Experience List all previous chruch work (list each church's name, city, type of work performed and length of involvment): List any other volunteer experience ( list each organization's name, city, type of work performed and length of involvment): List and gifts, training, education, or other factors that have prepared you for the volunteer position you are seeking: Have you ever been convicted of any law violation (except for minor traffic violations)? Have you been a resident of Ohio for the last 5 years? * Yes No If no, in which state(s) did you live in the last 5 years? References: Please list three personal references who are not relatives or former employers 1. Name * Address Phone Number * 2. Name * Address Phone Number * 3. Name * Address Phone Number * Applicants Statement I certify that all information provided in this volunteer application is true and complete. I understand that any false information or omission may disqualify me from further consideration and may result in my dismissal as a volunteer if discovered at a later date. I understand that St. John Vianney may request a criminal background check and I consent to such. I release the Diocese of Cleveland, St. John Vianney Parish and their agents from any and all liabilities and responsibilities, damages and claims of any kind whatsoever arising from this investigation of my background. I understand that I am required to abide by the rules and regulations of St. John Vianney Parish and the Diocese of Cleveland. I have read, understand and, by my signature, consent to these statements. Signature: * Date * reCAPTCHA If you are human, leave this field blank. Δ