Complete the form below to Register as a Volunteer. Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneWork PhoneCell*Email* Catechetical Experience/Teaching Credentials (if any)Emergency Contact for Volunteer First Last Relationship Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneVolunteer Opportunities Teacher Co-Teacher Aide Substitute Special Event Hall Monitor I can volunteer on: (check all that apply) Tuesday – 6:15 p.m. to 7:15 p.m. As Needed I would like to teach/co-teach withI would like to teach/co-teach/Aide grade (select up to 3) K 1 2 3 4 5 6 7 8 I would like to teach/co-teach/Aide in my child's class. Yes Diocese of Arlington Child Safety Program Requirements*All volunteer positions in Religious Education must have the required Diocesan paperwork processed and cleared prior to volunteering. Contact Lisa Orosa for more information, dff@saintagnes.orgFully Compliant with Arlington DioceseUnsureNot Compliant with Arlington DioceseCompliant with another DioceseIf compliant with another Diocese, please indicate which one below Δ