Volunteer Application
If you would like to volunteer with Catholic Community Services of Utah, please complete this volunteer application. Please review the "Volunteer Opportunities" page to select below your area of interest.
First Name (*)
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Last Name (*)
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Organization (if any)
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Street Address (*)
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City (*)
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State (*)
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Zip Code (*)
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Cell Phone (or best phone #) (*)
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Home Phone
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Work Phone
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Email Address (*)
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EMERGENCY CONTACT
Emergency Contact (*)
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Relationship to you (*)
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Emergency Contact Number (*)
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WORK EXPERIENCE
Current Employer
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Current Position
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Previous Employer
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Previous Position
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REFERENCES
Please list three people who are able to complete a reference referral on your behalf. Your application cannot be processed until these referrals are returned to us.
Reference 1 (*)
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Reference 1 Phone (*)
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Reference 2 (*)
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Reference 2 Phone (*)
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Reference 3
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Reference 3 Phone
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EDUCATION
Indicate levels of education completed (*)



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Field(s) of Study
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LANGUAGES
CCS serves clients who speak many languages, indicate any foreign languages you can speak, read and/or write
Language
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Indicate fluency level








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Language
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Indicate fluency level








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SPECIAL SKILLS/PROFESSION
Do you possess any special skills or do you work a profession that requires knowledge that may be useful during your time as a volunteer at CCS?
Describe your skills
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TRANSPORTATION
Information regarding drivers license number and insurance information may be required later, if applicable.
Do you have access to a vehicle? (*)

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VOLUNTEER EXPERIENCE
Please describe current or past volunteer experience. Include the name of the agency and your duties.
Describe your experience
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VOLUNTEER AVAILABILITY
I am interested in volunteering as (*)


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If a group, what is your group size?
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List your group's organization or business
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Age range of you and/or your group (*)



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How long do you see yourself volunteering with CCS? (*)



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Your availability (*)









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VOLUNTEER INTEREST
Please review the "Volunteer Opportunities" page to select below your area of interest.
Where would you like to help? (*)













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How did you hear about volunteering with CCS? (*)
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JOIN OUR LIST
May we add you to our list to receive updates from CCS? (*)

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CCS VOLUNTEER AGREEMENT

I agree to maintain the same strict confidentiality regarding my duties at Catholic Community Services as that expected of paid staff. I understand that while working as a volunteer, I am not considered an employee of Catholic Community Services. I have reviewed this application completely and certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application.

By typing my name on the form, I acknowledge that I have signed this document and will adhere to the agreement above and understand that my typed name is equivalent to my signature.
Volunteer Signature (*)
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DOCUMENTS & FORMS

The following forms are unneccessary unless instructed by the Volunteer Coordinator for a specific volunteer postion. Please print the applicable form and mail to 745 E 300 S, Salt Lake City, UT 84102, Attn: Volunteer Coordinator.

Thanks for volunteering!

A.   Volunteer Package & Personnel Forms

B.   Volunteer Code of Conduct (Form C)

C.   Department of Workforce Services Disclosure of Confidential Information (Form D)

D.   Diocese of Salt Lake City - Disclosure & Information Form

E.   How to Access the Safe Environment for Children

F.   Utah Department of Human Services Background Screening Application

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Mission of Catholic Community Services: To practice gospel values of love, compassion and hope through service, support and collaboration.
Catholic Community Services of Utah serves people in need regardless of race, religion, disability or ethnicity.

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