Marian Center School and Sevices

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Volunteering

Welcome from the Executive Director:

I thank you you sincerely for your desire to work as a volunteer with the Marian Center School & Services, Inc. We, here at the Marian Center, are very serious about what we do and the effort to insure that we provide a safe and wholesome learning and recreational environment for the children and adults we serve.

I can assure you that your volunteer experience will be personally worthwhile and that you will receive as much from it as you give. I must ask that you abide by all rules and regulations of the Center and that you will be very cooperative with the staff. Should there be any reason that the Center and its management believe that the volunteer is not of benefit to the people served, we retain the right to insist that you leave the Center grounds.

By being accepted as a volunteer (following an interview by a member of the Center Leadership Team), it is our belief that you have the maturity, values and motivation to be an asset to the work we are doing here, and I fully expect the experience will be mutually satisfactory.

Again, thank you for your willingness and efforts in helping us and in helping the children and adults at the Center.

Godspeed!

Dear Volunteer,

In order to be considered as a volunteer, we know you will understand our need to make appropriate inquiries if those to whom the care of our young people is entrusted.

Please fill in the information requested below and submit this form to our administration for further consideration.

Thank you for your interest in the Marian Center School.

We look forward to contacting you!

Thank you for offering your time and talent to our school. Volunteers, such as yourself, are indispensable to our programs.

DOWNLOAD FULL APPLICATION

Volunteer Application Form

YOUR INFORMATION

Social Security #:

Street Address:

City:

State/Zip Code:

Date of Birth:

Work Phone Number:

Home Phone Number:

Driver's License #:

Upload Documents

Upload File

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RELIGIOUS INFORMATION

Parish Name:

Baptism:

Parish Name:

First Communion:

Parish Name:

Confirmation:

Parish Name:

EDUCATION

Elementary Completed

High School Completed

College

Graduate Work

Specialization

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DO YOU HAVE A HISTORY OF...?

Alcohol or drug abuse?

Mental illness?

Contagious disease(s)?

PROBLEMS WITH THE LAW

Have you ever been arrested?

Have you ever been accused of child neglect or abuse?

Has your drive's license ever been suspended or revoked?

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BACKGROUND INFORMATION

1. Has a criminal, civil or internal complaint to management or supervisors at places of employment / volunteering ever been filed against you which alleged sexual misconduct, harassment or child abuse by you, or your participation in or facilitation of such activities?

If yes, explain. Please provide the date, nature, and place of the incident leading to the complaint; where the complaint was filed, disposition of the complaint and identify by name and title, the person(s) who investigated the complaint and the person who adjudicated the complaint.

2. Do you presently serve, or have you ever served, as a volunteer for any organization, entity or group in which you had significant contact with children or other vulnerable populations (i.e. elderly, mentally or emotionally challenged, etc.)

If yes, please provide the name, address and telephone number of the organization, period of volunteer service, supervisor’s name , and briefly describe your activities and/or duties.

3. Have you ever terminated any employment or volunteer service or chosen not to renew or continue any employment or volunteer service or have you had employment/ volunteer service terminated, or been subject to any disciplinary action against you for reasons relating to allegations of sexual misconduct or child abuse by you?

If yes, please explain. Include in your explanation the date, nature, and place of the occurrence(s) or allegations(s), and the disposition of the matter(s). Also, identify your employer and supervisor at the time by name, address and telephone.

4. Have you ever been convicted of a crime (other than a minor traffic violation)?

If yes, please explain. Include in your explanation the date and place of any conviction and the crime for which you were convicted.

5. Have you ever been reprimanded, investigated, or dismissed from a position for grounds that include or involve immoral conduct, unprofessional conduct, unethical conduct, harassment, including sexual harassment, unfitness for service, etc.?

If YES, please explain incident, and provide name of supervisor, telephone number, dates, etc.

6. Have you ever been a defendant in a civil action for an intentional tort, including but not limited to, assault, false imprisonment, rape, etc.?

(check those that apply)

PRIOR EXPERIENCE WORKING WITH CHILDREN/YOUTH: (check those that apply)

Check all that apply:

Children (up to age 10)

Youth (11-14)

Teens (15-18)

Explain. List name, address and phone number of your Supervisor.

What would you say are your strongest gifts?

PLEASE DESCRIBE, IN YOUR OWN WORDS, WHAT PROMPTED YOU TO VOLUNTEER YOUR SERVICES WITH THIS PROGRAM.

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Please tell us which days and times are you available for your volunteer work:

(leave blank if not available that day)

MONDAYS

TUESDAYS

WEDNESDAYS

THRUSDAYS

FRIDAYS

SATURDAYS

SUNDAYS

References

REFERENCES

Please list the names, addresses, and phone numbers of those who are familiar with your character as it relates to work with youth. Three (3) non-family references please (excluding Pastor and Staff)

Reference #1

Phone Number:

Address:

City:

State/Zip Code:

Reference #2

Phone Number:

Address:

New Field:

State/Zip Code:

Reference #3

Phone Number:

Address:

City:

State/ Zip Code:

Please Check to Agree

The information that I have provided may be verified, if necessary, by contacting persons or organizations named in this application or by contacting any person or organization that may have information concerning me.

Opt-In

I authorize the Archdiocese of Miami, its employees and agents to make inquiries, including criminal history, employment history and driving history. I hereby release and agree to hold harmless from liability any person(s) or organization who, in good faith, provides information to complete a background investigation. I also agree to hold harmless the local parish, school, or other diocesan institution, the Archdiocese of Miami, and the officers, employees and volunteers thereof from any present or future claim of any kind resulting from any alleged liability for conducting a background investigation which may include, but not limited to, criminal courts, state and county and national repositories or criminal records.

Opt-In

Under the penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true to the best of my knowledge and belief.

Code of conduct

By checking, I also declare that I have read and accepted the VOLUNTEER CODE OF CONDUCT.

Thank you for your interest in the Marian Center School.

We look forward to contacting you!

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