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Your name
*
Your email
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Phone
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Date of birth
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Address
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City
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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Kentucky
Louisiana
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Maryland
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Michigan
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Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
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New Mexico
New York
North Carolina
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Ohio
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Zip code
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Which side of Indianapolis do you live on?
Northside
Eastside
Westside
Southside
Downtown
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Location preference of serving:
On location
At home
What is your preferred method of contact?
Email
Phone Call
Text
Any
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Emergency Contact Name
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Emergency Contact Phone
Areas of Interest
Immigration Legal
Adult ESL Instructor
ESL Class Assistant
Cultural Orientation Class Instructor/Assistant
After-School Homework Helpers
Internship Opportunities
Apartment Set-up/Move Crew
Donation Room/Behind the Scenes Help
Adult and Family Mentors
English Conversation Partner
Other
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What languages do you speak?
Level of English
Beginner
Intermediate
Fluent
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Are you 18 years old or older?
Yes, I am 18+
No, I am 12-18 years old.
Are you a student, and need hours for your program (college, high school)? If so, what is the name of your school?
The information in this application and registration is true and correct to the best of my knowledge. I authorize you and any interested party to verify any information I have provided in this application. I also agree to hold harmless the Archdiocese of Indianapolis, its schools, parishes, employees, and agents from any and all liability with respect to the use and/or disclosure of information gathered. I understand that any volunteer position or offer of a volunteer position is dependent on results of the Safe Parish background check. I further understand that I have no right to a volunteer position and that my position as a volunteer may be terminated immediately without cause and without notice at the sole discretion of the Archdiocese of Indianapolis, its schools, parishes, employees, and agents.
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Please sign here, if you have read and agree to the above disclaimer, and that your information in this application is correct.
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