GATEWAY VINCENTIAN VOLUNTEERS
AMERICORPS APPLICATION

Online Application Form

Applications will be accepted into July prior to the August orientation, however preference will be given to applications received by April 1.

The mission of the Gateway Vincentian Volunteers program is to provide young adults with an experience of living in community and working with the poor in the spirit of Saint Vincent DePaul, whose life's work was dedicated to serving the poor and needy. It is our goal that by working, praying, and living in the spirit of Vincent, these young adults will develop a consuming commitment to improving the lives of the poor and marginalized in our society.

It is important that we learn more about you so that the most appropriate candidates are selected for our one-year session. We are interested in candidates who are excited about the mission of the GVV program. Therefore, please take the time to complete this form thoughtfully.

*** If using the Save For Later feature, the application must be completed

on the same computer and within 31 days. ***

All fields are required

PERSONAL DATA

First Name:
Middle Name:
Last Name:
Present Address (If you attend college or otherwise live at a temporary residence)
What date will you leave?
Street Address:
City:
State:
Zip Code:
Phone:
Permanent Address
Street Address:
City:
State:
Zip Code:
Phone:
Cell Phone:
E-mail:
Fax:
Birth Date:
Social Security Number:
Drivers License Number:
State of Drivers License:
EDUCATIONAL BACKGROUND
High School:
Graduation Year:
College/University:
Graduation Year:
Degree/Major(s):
Do you speak a language other than English? If so, which language?
EMPLOYMENT/ EXPERIENCE
Please list your last three jobs:
Employer 1:
Location:
Dates:
Position:
Employer 2:
Location:
Dates:
Position:
Employer 3:
Location:
Dates:
Position:

 

Have you ever been terminated from a position or been formally disciplined in school? If yes, please explain why.

FAMILY BACKGROUND

Mother:
Street Address:
City:
State:
Zip Code:
Phone:
Father:
Father's address the same as Mother's (If the same please leave the following address fields blank.)
Street Address:
City:
State:
Zip Code:
Phone:

 

Please list the names and ages of your brothers and sisters:

Describe your family life. What were the positives/negatives?

How would your family describe you? What role do you play in your family?

Describe your family's reaction to you being a Vincentian volunteer?

Have you shared this with your faith community or with anyone else who is important to you?

REFERENCES

Please list three people (personal, professional, and character) who have known you for at least two years.

Ask them to complete the reference form and return to the Gateway Vincentian Volunteers. Please do not use family members as references.

Personal Reference  
Name:
Phone:
   
Personal Reference  
Name:
Phone:
   
Character Reference  
Name:
Phone:

 

SERVICE AREA

What kind of service work would your like to perform?

What are your previous volunteer experiences? Describe the effects these experiences had on you.

 

OTHER

As a GVV you will be expected to work a 40 hour per week job, do household chores, and be a contributing member of your community on a regular basis. How would you function in this environment?

In the past, have you been disciplined for violating company or school policies forbidding the use of alcohol/drugs or tobacco products or any other violations?

 

FURTHER BACKGROUND

If you answer yes to either question, please explain on separate sheet of paper.

Have you ever been found guilty of, or entered a plea of guilty (or nolo contender) to a criminal offense?

Has any civil or criminal complaint or any other written complaint ever been made against you relating to sexual abuse, sexual harassment, or exploitation?

It is required that you carefully read and complete the "Authorization for Release of Information" form and include with your application.

  (Please note that a conviction does not necessarily bar you from being accepted into the program.)


THE FINALE

Please use a separate sheet of paper to answer these questions. Take your time; these are important questions for you and for us.

Describe what attracts you to an organization that has a mission such as ours.

As a volunteer you will live in community. What does that mean to you? How would you be an asset to community living? What do you think are the positives and negatives of community living?

What do you do to have a good time? What are your hobbies?

Describe what's important in your life now and how you and the GVV would be a good fit.

Are you currently applying to other volunteer/mission programs? If yes, give name and status of application.

 

Please type the characters you see in the above box into the field below.

A value is required.Invalid format.

 

AGREEMENT

I certify that to the best of my knowledge, all information contained in this application is true and complete. I further understand that any material misrepresentation or falsification may be sufficient grounds to refuse admission into or removal from the Gateway Vincentian Volunteers.   If submitting this form on-line please initial following box to attest to the previous agreement statement.   

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Gateway Vincentian Volunteers
2912 Arsenal Street
St. Louis, MO 63118
(314) - 771-1474
Toll free: (888)-771-7220
Fax: (314) - 771-2410
email: gatevol@aol.com