Volunteer Application Form
I. Contact Information
Name:
E-mail:
Address:
Telephone:
Emergency Contact:
II. Background and Skills
Please list any agencies and organizations for whom you have volunteered (past/present):
What are your professional and academic skills/talents?
Please describe your level of computer literacy and any proficiency in foreign languages:
III. Professional/Academic/Personal References
Current Employer/
Academic Institution:
Address:
Job Title/
Course of Study:
Current Supervisor/
Academic Advisor:
Telephone:
E-mail:
Professional/
Academic Reference:
Telephone:
E-mail:
Personal Reference:
Telephone:
E-mail:
IV. Interests and Availability
Please indicate which areas you are interested in serving:
Thrift Shop or Emergency Assistance at Christ House
Emergency Assistance at Western Regional Office in Leesburg
Food Pantry at Christ House in Alexandria
Christ House on Wheels program in Alexandria
Grant Writing at Admin Ofc in Arlington
Data Entry at Admin Ofc in Arlington
Reception Desk at Admin Ofc in Arlington
Elderly Services - St. Martin de Porres Center (Alexandria)
Prison Ministry (Arlington)
Hogar Hispano - ESL program (Falls Church and other sites)
Hogar Hispano - immigration legal assistance (Falls Church)
Hogar Hispano - citizenship assistance workshops (Arlington)
Please list which days and hours you might be available to volunteer:
V. Submit
In completing and submitting this volunteer application, I certify that the information provided on this application is true and accurate.

If you have any questions, please call 703-841-3835 or e-mail bfitz@ccda.net.

Beth Fitzpatrick
Volunteer Program Coordinator
Catholic Charities of the Diocese of Arlington
200 North Glebe Road, Suite 506
Arlington, VA 22203

Would you like to be a Catholic Charities' volunteer? Complete the form below to share your skills and talents with us.

Internship Opportunities


Would you like to receive our quarterly newsletter, The Mission?