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Steubenville Atlanta Volunteer Information

July 10—13, 2015 Gwinnett Center Duluth, GA

PLEASE SUBMIT TO juliemusik@comcast.net by June 12, 2015 to save your place


FULL LEGAL NAME




Street Address




City ST ZIP Code




Home or Cell Phone




E-Mail Address




Parish




Birthday M/D/Year




T Shirt Size




FOOD ALLERGIES



Volunteer Clearance


From which organization(s) are you cleared to volunteer with youth and/or vulnerable individuals?

___ Archdiocese of Atlanta

Approximate year of last clearance_________







Name of Parish or Event/Organization ________________

___ My home diocese

________________________ (Name of Diocese)


Year of last volunteer clearance_________

___ I am a current Archdiocese of Atlanta employee at: ________________________________________


___ I have not had a recent background clearance with a church or diocese.
*Every 5 years, volunteers from Atlanta must complete the videos, documents, and read literature from the Office of Child and Youth Protection (2-3 hour process). Lifeteen will pay the fees associated.
**The Archdiocese sends a link for clearances that the Volunteer Coordinator requests on behalf of all. Individuals should NOT request the link to avoid inefficiency and delays. Each volunteer must have his/her own email address for the electronic clearance process to be effective.
****Volunteers outside of the Archdiocese of Atlanta must scan and email a letter from their pastors or diocese stating they are cleared to volunteer with youth at least (2 weeks prior to the conference).

Interests


Tell us all areas in which you are interested in volunteering



___ Bookstore

___ Chapel

___ First Aid

___ Hospitality


___ Intercessory Prayer

___ Prayer with Teens

___ Security

___ Teen Hospitality

___ Ushers



Special Skills or Qualifications


List special skills and qualifications you have.






Previous Volunteer Experience


List your previous volunteer experience.






Person to Notify in Case of Emergency





Name




Street Address




City ST ZIP Code




Phone




Do you have any medical conditions that we should know about?




Thank you for completing this application form and for your interest in volunteering with us.

PLEASE EMAIL THIS DOCUMENT TO THE VOLUNTEER COORDINATOR, NOT THE ARCHDIOCESE

Sincerely,

Dr. Julie Brown

Volunteer Coordinator, Steubenville Atlanta



juliemusik@comcast.net


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