Volunteer Form_PreK-Grade 5

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Mailing Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.

Email (this is our primary method of communication) Please enter an email address.

Phone Number Please enter a phone number.

If under 18, please list parent/guardian name(s), phone number(s), email(s)

Sacraments Received REQUIRED Baptism (Location, Date) Reconciliation Eucharist (Location, Date) Confirmation (Location, Date) Please fill out this field.

Baptism, Eucharist & Confirmation, Location(s) and Date(s) REQUIRED Please fill out this field.

Have you received "Protecting God's Children" training? * Must be current on VIRTUS * REQUIRED Yes No Please fill out this field.

If yes, where and when? Please enter valid data.

Employment/school Please enter valid data.

Hobbies/areas of interest

Program locations Pre-K - 5th grade: Sundays, 9:00-10:30 a.m., St. Matthew's Church, 70 Western Ave. Hampden (before the 10:30 a.m. Mass) Pre-K - 5th grade: Sundays, 10:00-11:30 a.m., St. Mary's Church, 768 Ohio St. Bangor (after the 8:30 a.m. Mass)

Will you be helping every week or on an as-needed basis? Every week As needed

Is there someone else you recommend we reach out to who would make a good volunteer? Please enter valid data.

Is there someone you personally would like to co-lead with? Please enter valid data.

Please check which grade(s) you prefer to work with: Pre-K/K 1st Grade 2nd Grade 3rd Grade 4th/5th Grade

Do you have previous experience as a Catechist? REQUIRED Yes No Please fill out this field.

If so, please describe your experience

Willing to help with (check all that apply): Reading Skits Materials Prep Family Gatherings Sacrament Retreats Altar Serving

Waiver: I request permission for myself/my child to attend this program to be held at the location specified. I understand this program will take place under the guidance and supervision of responsible employees/volunteers from Saint Paul the Apostle Parish and if needed, give permission for myself/my child to be evaluated, diagnosed, and treated/medicated in accordance with standard medical practice by licensed medical personnel. I relieve the Diocese and Parish of all responsibility and consequences that may arise because of this treatment. I will not hold the Diocese or Parish, chaperones, or representatives associated with this program responsible in the event of injury. If I cannot be reached in case of an emergency, I give permission for the parish group leader to act on my behalf. I agree to accept all financial responsibility related to such care.

I agree to the above REQUIRED Yes No Please fill out this field.

Digital Release: By submitting this form, I hereby grant to the Diocese of Portland my consent without reservation to use, assign, convey, reproduce, copyright, publish or sell my/my child's name, voice, image, and/or likeness that arises from my/his/her participation in this program, whether still or motion pictures, audio or video tape for promotional, instructional, business or any other lawful purposes, at the Diocese of Portland's sole discretion.

I agree to the above REQUIRED Yes No Please fill out this field.

Are you currently registered as a member of the parish? REQUIRED Yes No Please fill out this field.

If not, would you please take a moment now to register at this link? https://www.stpaulbangor.me/registration-form-join-the-parish

Thank you & God bless!