* required fields
* first name
* last name
* email address
* password
* birthday (mm/dd)
home phone
work phone
cell phone
preferred phone
* address line 1
address line 2
* city
* state
* zip
programs
* emergency contact first name
* emergency contact last name
* relationship
emergency contact work phone
emergency contact home phone
* emergency contact cell phone
have you ever volunteered at st james before?
have you ever been convicted of a criminal offense?
I realize that misrepresentations or omissions on my part will be cause for rejection of an application to volunteer. I understand that I am a volunteer “at will,” and that St. James' reserves the right to disqualify me from my volunteer position for any reason deemed appropriate.
I authorize St. James' to conduct a criminal history record search and understand that an investigative report may be generated. This report may include information as to my financial and credit history, Megan’s Law, or criminal record history. I authorize, without reservation, any financial institution, law enforcement agency, information service bureau, or employer contacted by St. James' to furnish the information described. I hereby release and hold St. James' harmless from all claims arising under this application and I release all persons with information relevant to this investigation from any liability for disclosing it to St. James'
I hereby certify that I have never been convicted of a crime related to sexual misconduct or abuse of children, whether in the United States or elsewhere, whether a felony or misdemeanor and whether such conviction was subsequently expunged from any record.
It is the policy of St. James' to provide equal opportunities without regard to race, color, creed, religion, sex, national origin, gender, gender identity and expression, age, disability, military status, genetic predisposition or carrier status, marital status, sexual orientation, or citizenship status or any other basis prohibited by applical federal, state and local civil rights laws.

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$Revision: 153 $