DNE Youth Program Volunteer Application
If you have any questions, please contact Fr. Moses Locke at frmoseslocke@gmail.com or Ephraim Mosher at ephraimmosher@gmail.com
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Email *
Full Name *
What program are you interested in volunteering for? (Please select all you are interested in) *
Required
If you answered other, please specify.
Home address
 *
Mailing address (if different from home address)
Phone number
 
 *
Email Address *
Adult t-shirt size *
Emergency contact name *
Emergency contact phone number *
Name of home parish *
Location of home parish *
Past volunteer experience *
Most recent place of employment (include address if applicable) *
Do you have any experience working with youth or children? If so, please explain. *
Do you have any relevant skills, certifications, degrees, or licenses we should know about? (Lifeguard training, registered nurse, teaching certification, theological training, etc.) *
Have you ever been the subject of a child abuse investigation? (Please answer “YES” or “NO.” If your answer is “YES,” please provide details.) *
Have you ever been convicted of or pleaded guilty to a criminal offense? (Please answer “YES” or “NO.” If your answer is “YES,” please provide details.) *
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