Hastings Region Volunteer Application

Thank you for giving us the gift of your time and talent. We can't wait to meet you and work together!

Please note: Due to COVID-19, our volunteer opportunities may be slightly adjusted. Thank you for your patience and understanding.

Your Information
First Name
Last Name
Maiden/Other
Gender
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Home #
Cell #
Can you receive texts?
What is your preferred method of communication?
Date of Birth
Month
/
Day
/
Year
Your Occupation:
Emergency Contact Information
Emergency Contact Name:
Emergency Contact Phone:
Emergency Contact Relation:
Reference Information
Reference Name:
Reference Phone:
Reference Relation:
Availability
Your Availability:
Are you willing to be a substitute?
Physical Restrictions
Physical Restrictions:
Safe Environment Training
Have you previously completed Safe Environment training and a background check for the Diocese of Lincoln?
Choose one:
Safe Environment
Volunteer Positions (check all that interest you)
General
St. Joseph Gift & Thrift
Other
What prompted you to apply today?
Use of Volunteer Photo, Video, and Voice Release Form

I give Catholic Social Services of Southern Nebraska (CSS), consent to record, videotape, photograph my image, and/or voice in relation to the mission of CSS. These items may be used in the following ways while volunteering at CSS:

  • Company Intranet accessible by employees only
  • Company Website accessible via the World Wide Web to anyone
  • Printed employee newsletter
  • Printed client/donor communications (i.e. Catholic Register Newspaper)
  • Company Print/Digital Marketing Materials
  • Printed annual report
  • Company social media platforms (i.e. Facebook, etc.)

I understand that no special compensation will be provided to me for the use of my image and that I may not be informed in advance of the specific use of my image. I further understand that I may opt-out of this practice upon providing written authorization to CSS.

Use of Volunteer Photo, Video, and Voice Release Form permission given:
Use of Volunteer Release Form approval:
Digital Signature: