Volunteer Inquiry/Application for St. Camillus

V olunteer Inquiry for St. Camillus

Personal Information:
Name:
Street Address:
City:	State:
Zip Code:
Phone #:
Email Address:
If under 18, date of birth:

Volunteer Opportunities Interested In:


List skills or experience related to the volunteer position you are applying for:


General Information:
Have you ever been convicted of a misdemeanor (other than a minor traffic violation) or a felony? (A criminal record does not constitute an automatic bar from volunteering). Yes No
If yes, explain fully, including type of offense, date and location.