Volunteer Application 2022-2023

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At CKCS the overall safety of our students is important to all of us. To make sure that all volunteers are up to date with Diocese and school policies, this form is required each school year. Volunteers that work with or around students must be vaccinated. Please submit a copy of your Covid-19 vaccination card to the office.

Last Name *

First Name, Middle Name *

Mailing Address, City, State, Zip Code *

Phone Number *

Email *

Are you 18 years of age or older *

Yes

Have you ever volunteered for a diocesan organization? *

Yes

If yes, where and when? If no, type NA. *

The information provided on this form is true and complete. If accepted as a volunteer, any misstatement or omission of fact on this form may result in suspension of my services. I grant permission to check my background and references and release the diocese and all diocesan locations from any and all libability that may result.

I further understand that all persons who will have contact with children or vulnerable adults are required to comply with Diocesan Safe Environment policies and procedures and are required to undergo a state and federal background check.

The undersigned ackowledges that he/she could be injured while volunteering but agrees to seek compensation therefore from his/her own personal insurance and agrees to pay his/her own medical bills. The undersigned agrees to make no claim for any injury, harm or consequential damages for work-related injury and releases the parish and the Diocese of Yakima from all claims, demands, or causes of action arising there from.

Type name below that will act as your signature.

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