I have read the information listed on this web-site about your Full-time Volunteer Program. 

General Information About Yourself

Name 

Permanent Address

City:     State: 

Postal Code 

Country:     

Phone number: 

Temporary Address

City:     State: 

Postal code:   

Country:     

Phone number: 

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: 

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

Name:

Address:

City:

State:

Postal Code:

Country:

Phone:

E-Mail:

Relationship: 

 

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

If married, name of spouse: 

Your Social Security Number: 

Do you know how to drive?   yes    no

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

State/Country of Issue: 

License Number: 

Your 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

Do you speak any languages other than English?  yes   no

Please list language(s) and describe fluency:

Your Employment History:

Present Employer 

Name: 

Address: 

City:

State:    Postal Code:

Country: 

Phone: 

Date Started (write out name of month): 

Immediate Supervisor:

May we contact Supervisor?   yes    no

 

Previous Employer 

Name: 

Address: 

City:

State:    Postal Code:

Country: 

Phone: 

Worked from:  to:

Immediate Supervisor:

May we contact Supervisor?   yes    no

Next Previous Employer 

Name: 

Address: 

City:

State:    Postal Code:

Country: 

Phone: 

Worked from:  to:

Immediate Supervisor:

May we contact Supervisor?   yes    no

 

Your 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.

What values do you see being expressed in our mission statement?

How would you try to express those values as a volunteer with our guests and in community living?

What training would you like to receive to better live out our mission statement while you are here with us?

In which program are you most interested? 

Dining Room for the Homeless

Emergency Overnight Shelter

Wherever I'm needed the most

What is your prior volunteer or ministry experience? 

List your duties, and the names and addresses of the organizations.

Compliance with Law Regarding Drinking Age

The minimum age for consuming alcoholic beverages in Illinois and elsewhere in the United States is 21 years. Violations of the law could subject you to arrest and endanger our organization. Do you agree to comply with the law regarding the minimum drinking age during your stay with us?        yes    no

Your Health

Is your health   good    fair      poor

List any chronic illnesses and physical conditions that require specific accommodations.

List any past operations and serious illnesses.

Describe any medication taken on a regular basis.

If you have had a drug or alcohol problem, give the date of the beginning of recovery and describe your current recovery program.

Your Availability to Serve as a Full-time Volunteer

Date available (use a word for the month):   

Preferred length of commitment:  

12 months

  other

Can you come to Chicago for an interview?    yes   no 

If yes, when? 

One final question...

How did you hear about us?  

Required Attachments

     As part of the application process, we require the following documents:

(1)  A Personal Statement from You  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 a Christian service program and your own estimate 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. 

(2)  Three recommendations:

• one from an employer or a work or volunteer supervisor

• one from someone who can best comment on your character

• one from someone who knows you personally, perhaps a personal friend or a family member

Click here for the recommendation form.  Print it out and give it to those serving as your references.

(3)  A brief doctor's report stating your present physical condition. A recent physical examination is required for all those applying.

 

(4)  A "Certificate of Prior Insurance Coverage" showing that you are covered by health insurance for the first 30 days. We provide health insurance only after 30 days. 

 

     Your application with Franciscan Outreach Association cannot be processed until we have received your signed application, Personal Statement, reference letters, and medical statement. Send us each document as it becomes available. Please keep us updated as to any changes to your temporary address and e-mail address. 

 

  I will send you the documents listed above.

 

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 you or Franciscan Outreach Association. However, if you plan to withdraw your application, please notify us immediately.

 

     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 Danielle

or call her at (773) 278-6724.

Thanks for applying!

If you have any comments about this electronic form, contact Diana