Catechist Volunteer Application: 2008-2009

St. Ann’s Catholic Church, Ashland, VA 23005                       

 

Name: ____________________________________________________________    Date of Birth: ___/___/______

Address: __________________________________________________________    Home Phone: _____________

                   __________________________________________________________     Email: __________________

 

What position are you interested in (check all that apply)?       Year you become a member of St. Ann’s: _________

___ Lead Catechist  ___Catechist  ___Substitute___

 

Please list all prior Catechetical Experience and the grade levels:

Dates / # of Years                            Grade Level/Age Group

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

 

Please list all volunteer and paid experience that will benefit you as a catechist

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

 

Please list any special interest/hobbies/talents that will benefit you as a Catechist:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

 

Please check at least three grade levels you are willing to teach:

                 __Kindergarten     __1^st Grade    __2^nd Grade    __3^rd Grade

                 __4^th Grade            __5^th Grade    __6^th Grade     __7^th Grade

                 __8^th Grade           __9^th Grade    __10^th Grade   __11^th Grade

 

Please check which sessions you are willing to teach:

                                  __Sundays, 9:00 am – 10:00 am

__Wednesday, 5:45 pm – 6:45 pm

__Sundays, 11:30 am – 1:00 pm        (Youth)

                                 

Please make note if there is another Catechist that you would like to work with or any other special information or request you would like to make known:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

 

Are you CPR certified?  _____ Yes                   _____ no

If yes when does your certification expire?

 

Are you a Notary?  ____ yes              _____ no

If yes when is your notary expiration date?

 

 Thank you for being a volunteer in St.Ann’s Christian Formation program for the 2008-2009 year.