I have read and understand the information regarding Franciscan Outreach Association’s Full-time Volunteer Program. 

 General Information

 Name      

 Permanent Address

City:     State: 

Postal Code 

Country:     

Temporary Address

City:     State: 

Postal code:   

Country:     

Phone and Email Addresses:

Phone number (home): 

Phone number (cell): 

Phone number (other - specify): 

E-mail address 

Confirm E-mail address 

Date of Birth (please spell out dates in this application by using a word for the month since Europeans and Americans put the numbers in different order):  

 Place of Birth: 

 Gender:  Male      Female  

 Nearest relative or friend (to notify in case of emergency)

Name:

Address:

City:

State:

Postal Code:

Country:

Phone 1:

Phone 2:

E-Mail:

Relationship: 

 Your Marital Status (single, married, widowed, separated, divorced):

If married, name of spouse: 

 Your Social Security Number (if U.S. citizen): 

 Do you know how to drive?   yes    no

Do you have a valid driver's license?   yes    no 

State/Country of Issue: 

License Number: 

Education 

High School 

Name: 

Location: 

Graduated or GED received?   yes   no   Year

 College/University  

Name: 

Location: 

Degree or field of study:  

Graduated?   yes   no   Year

 Post-Graduate or other University 

Name: 

Location: 

Degree or field of study:  

Graduated?   yes   no   Year

 Other Training (please describe): 

 Language Abilities

Do you speak English?   yes   no

If English isn't your first language,

Rate your English verbal skills on a scale of 1 to 10.

(1 being a beginner, 10 being perfectly fluent.)  

Rate your English reading skills on a scale of 1 to 10.

(1 being a beginner, 10 being perfectly fluent.)  

Do you speak any languages other than English?  yes   no

 Please list language(s) and describe fluency:

Employment History

 Present Employer 

Name: 

Address: 

City:

State:    Postal Code:

Country: 

Phone: 

Date Started (write out name of month): 

Immediate Supervisor:

May we contact your supervisor?   yes    no

Previous Employer 

Name: 

Address: 

City:

State:    Postal Code:

Country: 

Phone: 

Worked from:  to:

Immediate Supervisor:

May we contact your supervisor?   yes    no

Interest in Our Programs

Please read our mission statement: 

We, Franciscan Outreach Association, strive

to be the heart and hands of Jesus

 in the Spirit of the Gospel

and St. Francis of Assisi.

We provide for basic human needs

such as food, shelter, encouragement

and assistance in creating a better life

for the homeless and marginalized,

especially those who are underserved.

We pledge to walk with them

by being vulnerable,

by advocating for them,

and by being reliable.

We wish to provide an open, respectful,

welcoming, secure environment,

and to affirm the dignity of our guests.

We, the donors, board members, staff, 

volunteers, and guests,

are looking for the transformation

of ourselves and our society.

 Please answer the following questions while reflecting on our Mission Statement. Feel free to attach additional pages if necessary.

 1. What values do you see expressed in our mission statement? Please give examples of how you have demonstrated one or more of these in your life. 

 2. Why do you want to serve the homeless men and women of Chicago? 

 3. Have you ever volunteered or worked with the homelessness in the past? If so, please explain. 

 4. Please describe any significant experiences you’ve had with cultures different than your own. 

 5. Do you have any experience working in crisis situations? If so, please describe. 

6. Have you ever lived in a community setting (other than your family)? If yes, please explain. 

 7. What methods do you use to handle stress? 

8. Identify and describe 3 qualities that you think are important for living with others. How do you demonstrate each of these qualities in your life? Please give examples.

 9. What does ‘simple living’ mean to you? 

 10. Would you feel comfortable working and living in a Catholic/Christian based organization? 

In which program are you most interested? 

       the Marquard Center Soup Kitchen and day program 

       Franciscan House emergency overnight shelter

       wherever I am needed most

 Compliance with Law Regarding Use of Alcohol

 The minimum age for consuming alcoholic beverages in Illinois and elsewhere in the United States is 21 years. There are also very strict laws against driving under the influence in the United States. Violations of these laws could subject you to arrest and endanger our organization. Our policy is that neither volunteers nor their visitors may consume alcoholic beverages on our premises, even if they are 21 or older. Violations of this policy will result in immediate dismissal from our program.

Do you agree to comply with the no-drinking policy at FOA?

     yes    no

Volunteer Expectations

 Are you able to lift boxes weighing up to 50 pounds? yes    no     

 Are you able to perform (either with or without special accommodation) the essential duties of this volunteer position, which include cooking and serving dinner, washing laundry, monitoring showers, driving to pick up donated items, monitoring the dorm at night, and taking names as the guests line up outside our shelter? Some positions require overnight shifts of 8+ hours and/or the ability to stand for 2-3 hours at a time.

yes    no.  If not, please explain:  

 Availability

Date available (use a word for the month):   

 Preferred length of commitment:  

       12 months

       13 months

        other - specify: 

Can you come to Chicago for an interview?    yes   no  

If yes, when? 

One final question...

How did you hear about us?

Required Attachments

All applicants must provide a Personal Statement.  Please tell us about yourself, your family, present lifestyle, and what you are seeking in volunteer service. We are interested in your reasons for wanting to participate in the mission and work of Franciscan Outreach and your own estimation of your talents, strengths, and limitations. Include any information which you believe will help us evaluate your application. We'll give you the email address to which to send it after you click the submit button below. You must also provide:

 (a)  Three recommendations:

·                    one from an employer or a work or volunteer supervisor

·                    one from a teacher, pastor or mentor

·                    one from someone who knows you personally such as a friend (no family members please)

Click here for the recommendation form.  Print 3 copies of this form and give it to those serving as your references. References must be returned in a sealed envelope with a signature across the seal. 

(b)  A "Certificate of Prior Insurance Coverage" showing that you are covered by health insurance for the first 30 days. Do not include any medical information on the certificate, only proof of coverage. We provide health insurance only after 30 days. 

Process 

Your application with Franciscan Outreach Association will not be reviewed until we have received your signed application, Personal Statement, and reference letters. Send us each document as it becomes available.  

Once you have been accepted into our program, send us the "Certificate of Prior Insurance."  Also, once you have been accepted into our program, we will require a job-related medical exam from a physician stating that you can perform the responsibilities of the job (with accommodation, if necessary).

Please keep us informed of any changes to your email address, phone numbers, or address.

 Certification

   I certify that the facts set forth in this application are true and complete to the best of my knowledge.

      This application does not imply a binding obligation upon the applicant or Franciscan Outreach Association. However, if you plan to withdraw your application, please notify us immediately so that we may consider other applicants. 

     Please type your name in the signature box below to serve as your signature indicating your acceptance of the above.

 Signature: 

Date:         

      If you want to print a copy of this completed application, do so before clicking the submit button. If you only want a list of the required attachments, you will be given the opportunity to print the list after you click submit. 

If you have any questions, you may 

e-mail Kendall, the Volunteer Coordinator

or call at (773) 278-6724 x 16.

 Thanks for applying!