General Volunteer Intake Form
Salutation
Please select...
Deacon
Dr.
Fr.
Mr.
Mrs.
Ms.
Msgr.
Rev.
Sr.
First Name
Last Name
Date of Birth
Email
Mobile Phone
We use text messages to communicate, may we send you text messages?
Yes
No
Address Line 1
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
In which Catholic Charities of Acadiana programs are you interested in volunteering? Please select all that apply.
St. Joseph Diner
Yes
FoodNet Food Bank
Yes
Emergency Sheltering Programs
Yes
Stella Maris Hygiene Center
Yes
Msgr. Sigur Center for Financial Assistance
Yes
Disaster Response
Yes
Rebuilding Together
Yes
Deaf Action Center
Yes
Crossroads Collective
Yes
Generally, what areas of volunteer service interest you, whether you are skilled or unskilled? Please check all that apply.
Manual Labor or Physical Work
Yes
Fundraising
Yes
Ministry and Prayer
Yes
Clerical or Administrative Support
Yes
Appreciation and Acknowledgement
Yes
Photography
Yes
Hospitality
Yes
Decorating (Seasonally or for Events)
Yes
Teaching and Mentoring
Yes
Organizing
Yes
Art
Yes
Music
Yes
Inventory Management
Yes
Laundry Services
Yes
Tool Maintenance
Yes
Gardening or Landscaping
Yes
Cleaning
Yes
It is helpful for us to know specific skills in which you are experienced. Please check all that apply.
Chainsaw
Yes
Painting
Yes
Electrical
Yes
Drywall
Yes
Plumbing
Yes
Roof Tarping
Yes
Roofing/Roof Repair
Yes
Muck & Gut
Yes
Carpentry
Yes
Flooring
Yes
Windows Repair
Yes
Door Repair
Yes
Handicap-Ramp Construction
Yes
General Contractor
Yes
Cabinetry/Millwork
Yes
Appliance Repair
Yes
General Handyman
Yes
HVAC
Yes
Computer Skills (Spreadsheets, Data)
Yes
Telephone Communication Skills
Yes
Pressure Washing
Yes
Licensed Counselor
Yes
Food Preparation
Yes
Guttering
Yes
Interpersonal Skills or Relationship Ministry
Yes
We sometimes need specialized volunteers with the ability to speak or interpret different languages. Please check all that apply.
I am fluent in a foreign language and could serve as an interpreter
Yes
Please select all that apply.
English
Yes
This is my primary language.
Yes
This is my secondary language.
Yes
French
Yes
This is my primary language.
Yes
This is my secondary language.
Yes
Spanish
Yes
This is my primary language.
Yes
This is my secondary language.
Yes
German
Yes
This is my primary language.
Yes
This is my secondary language.
Yes
Italian
Yes
This is my primary language.
Yes
This is my secondary language.
Yes
Mandarin
Yes
This is my primary language.
Yes
This is my secondary language.
Yes
Vietnamese
Yes
This is my primary language.
Yes
This is my secondary language.
Yes
Cantonese
Yes
This is my primary language.
Yes
This is my secondary language.
Yes
Other
Yes
Please list.
I am fluent in sign language and could serve as an interpreter
Yes
Is there anything else you would like us to know about you that could help us match you to a great volunteer opportunity?
Release of Liability Statement
I, for myself and my heirs, executors, administrators and assigns, hereby release, indemnify and hold harmless Catholic Charities of Acadiana, local governments, State of Louisiana, the organizers, sponsors, and supervisors of all disaster preparedness, response and recovery activities from all liability for any and all risk of damage or bodily injury or death that may occur to me (including any injury caused by negligence), in connection with any volunteer effort in which I participate. I likewise hold harmless from liability any person transporting me to or from any relief activity. In addition, relief officials have permission to utilize any photographs or videos taken of me for publicity or training purposes. I will abide by all safety instructions and information provided to me during relief efforts.
Further, I expressly agree that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the State of Louisiana and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
I have no known physical or mental condition that would impair my capability to participate fully as intended or expected of me.
I have carefully read the foregoing release and indemnification and understand the contents thereof and sign this release as my own free act; background check prior to volunteering may be required.
Digital Signature
First Name
MI
Last Name
Date
Contact Information