Volunteer Application
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Click here to view/download application in PDF format

Personal Information
First Name:
Middle Name:
Last Name:
Home Address 1:
Home Address 2:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Email:
Date of Birth:
Last 4 of SSN:
Program Interest
(Please check all that apply)
Emergency Aid
Representative Payee
Immigration/Refugee Services
Office for Persons with Disability
Housing Counseling/
Family Self-Sufficiency
Mother Teresa Shelter, Inc.
Reception
Do you have any limitations that would impair your ability to perform as a volunteer?
Yes    |    No
If yes, please explain:

 
Employment Information
    Are you currently employed?            Yes    |    No      (If yes, please complete information below)
Employer:
Address 1:
Address 2:
City:
State:
Zip:
Describe job duties:
 
Volunteer Experience
  Name of Volunteer Program Type of Duties Performed Date
1.
2.
3.
Is there a particular type of assignment or volunteer duty you would prefer to do? (please explain)
List languages spoken other than English
List languages written other than English
If you are interested in serving as a volunteer interpreter, please check the one of interest:
    Sign Language    |    Braille
Have you ever been convicted of a crime?
    Yes    |    No      If yes, please explain below
NOTE: The existence of a criminal record does not constitute an automatic bar to volunteering  
Education
High School Diploma:
    Yes    |    No              Year:      
List any other training, certifications, or professional licenses completed:
Volunteer Shifts (Please check the shift[s] and day[s] you are available to volunteer)
Shift Times Monday Tuesday Wednesday Thursday Friday
8:00 am - 10:00 am
10:00 am - 12:00 pm
12:00 pm - 2:00 pm
2:00 pm - 4:00 pm
Emergency Contact Information
Name:
Relationship:
Home Phone:
Work Phone:
References (All candidates will be required to undergo drug and criminal history screening)
Name:
Relationship:
Phone:
Name:
Relationship:
Phone:
Name:
Relationship:
Phone:
APPLICANT’S STATEMENT AND AUTHORIZATION TO RELEASE
I certify that all of the above information is correct and true to the best of my knowledge. I further understand that false or misleading information may be grounds for rejection of my application. I hereby give Catholic Charities of Corpus Christi, Inc. permission to conduct a background check as well as contact any of my references.
        I hereby acknowledge that I have read and understand the above statements.

 

 

 
 
 
 
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Catholic Charities of Corpus Christi
1322 Comanche  -  Corpus Christi, TX 78401  -  Phone: 361-884-0651 / Fax: 361-884-3956
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