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St. Vincent de Paul Society of Lane County, Inc.
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First Place Family Center Internship/Volunteer Application Form


Please complete this application form if you are interested in becoming a volunteer with St. Vincent de Paul's Youth and Family Service department, click the Complete Application button at the bottom. Be advised FPFC Does not facilitate the completion of community service hours, if you would like to complete your community service hours with SVDP please fill out the General Volunteer Application.

NOTE: All applicants must be 18 years of age or older.

What's your email address?

Your information


Required fields are marked with an asterisk (*).
First name: *
Middle initial:
Last name: *
Legal name (if different from above):
Date of birth: *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
(You must be 18 years of age or older to volunteer at First Place Family Center)
Street 1: *
Street 2:
City: *
State: *
Zip: *
Primary phone: *

For example, 123-456-7890
Cell phone:
St. Vincent de Paul Society of Lane County has permission to include my mobile number in automated text messages. Msg&Data rates may apply. Frequency varies. "STOP" to unsubscribe.

Don't have time to become a regular long term volunteer?
Consider becoming a Vinnie's Reservist.

Reserve Volunteers are placed on an outreach list and when special, short-term, or emergency volunteer projects and opportunities come up we will reach out to see who can come and help out. These projects usually require a short commitment of a single day to a week or two at most but are often among our most vital volunteer needs. Whether it's helping a department process an unexpected surplus, helping get things back in order after an emergency, or helping with prep for major Vinnie's events, these projects and events often have a far-reaching effect on operations across the organization as a whole.
Would you like to be on the outreach list for unique volunteer projects?
What type of projects would you be interested in helping with?





Please Elaborate:
Languages spoken other than English:
How did you hear about our volunteer opportunities?






Please Explain:
Please provide skills, experience, interests, or background you feel may be helpful or relevant to placing you in a beneficial volunteer opportunity.
Where do you want to help out?

Are you Interning/Volunteering to fulfill any course credit hours. *
Name of organization/program:
Number of hours needed:
By what date are hours due:

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Further Notes (Is there anything else we should know about you?)
Emergency Contact
EC First Name: *
EC Last Name: *
EC Primary Phone: *
EC Email Address:
EC Relationship:
Background
The following questions are part of the process to help provide a safe and secure environment for our clients as well as you. All information is held strictly confidential by SVdP staff. Please indicate whether you have ever personally experienced any of the following.
Past or current alcohol or drug abuse: *
Difficulty working with kids: *
Misdemeanor or felony charges: *
Denied legal custody of your children: *
Objections to criminal background check: *
If you answered "yes" to any of the questions in this section, please explain

Disclaimer

Statement of Release

I, the undersigned, hereby release St. Vincent de Paul Society of Lane County, Inc. (SVdP) from all liabilities in connection with any tasks performed as a volunteer and give permission to include my photograph in any of the agency's publications. I authorize SVdP to enter my name and contact information into their mailing list so that I can receive their publications.

By signing the "digital signature" box below, I understand that a criminal background check may be obtained to verify the information I have provided on this application (applicable only to volunteers over the age of 18). I understand that in the event of an accident or injury while volunteering for SVdP, my health and vehicle insurance is primary.

Volunteers and prospective volunteers are expected to adhere to the same confidentiality standards as SVdP staff. Confidentiality includes disclosure of information about sexual orientation, religion, disability, race, color, age, creed, or personal history. Information regarding yourself, clients, staff, and other volunteers is not information that should be discussed with others within the agency or elsewhere.

I hereby authorize St. Vincent de Paul Society of Lane County, Inc. to verify all information contained in this application with any references to disclose any and all information to SVdP. I release all such persons from liability that may result of arise from the collection of all such evaluations or information or its consideration of my application.



Charity Navigator Give With Confidence

St. Vincent de Paul is Lane County’s largest nonprofit human services organization. Founded in 1953 and incorporated in 1955, the Agency helps more than 35,000 individuals and families each year with emergency and homeless services, and affordable housing. St. Vincent de Paul is committed to providing comprehensive programs to alleviate poverty and help all individuals find a path out of poverty and into self-sufficiency.

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