SSND Volunteer Program
13105 Watertown Plank Rd., Elm Grove, WI 53122
Phone: 262-787-1497 Fax: 262-754-4878
Email: volunteer@ssnd.org
www.ssnd.org ~ www.facebook.com/ssnd.northamerica
Applications received until all positions are filled.
APPLICATION CHECKLIST
APPLICATIONS CONSIDERED COMPLETE WHEN ALL OF THE FOLLOWING ARE SUBMITTED (where
possible, please send electronically to volunteer@ssnd.org):
COMPLETED APPLICATION FORM (signed and in PDF form if possible)
ESSAYS (Please ensure that your name appears in a header or footer on each page of essay)
RESUME or CURRICULUM VITAE (Please submit electronically as PDF if possible)
OFFICIAL TRANSCRIPTS (Sent directly to Sister Marcie Solms, SSND Volunteer Program, 13105
Watertown Plank Rd., Elm Grove, WI 53122 from your college/university.)
2 REFERENCES (not including references from significant others, relatives or friends. Please have your
reference send their completed reference directly to us at volunteer@ssnd.org.)
SSND Volunteer Program release for background check (sign, then scan and send as PDF or mail to
address above.)
PLEASE NOTE:
After we have received all of your application materials (see above), Sister Marcie Solms will
contact you to schedule an interview. An in person interview is preferred. If this isn’t possible, a
Skype or phone interview is also acceptable. Please note that all travel expenses related to
interviewing in person would be the applicant’s responsibility.
.
Only after acceptance to the SSND Volunteer Program will we ask you to submit the following:
Physician’s Medical Form
Self-Disclosure Medical Form
SSND Volunteer Program – General Information
_______________________________________________________________________________
Last Name
First Name
Middle Name
Name you prefer
__________________________________________________________________________________
Current Address
City
State ZIP
Until when?
__________________________________________________________________________________
Phone(s) (please note: home/mobile/work)
__________________________________________________________________________________
Primary e-mail address
Alternate e-
mail address
__________________________________________________________________________________
Permanent Address (if applicable)
City
State ZIP
Permanent phone #
Date of Birth (month/day/year): _________________
Social Security Number: ______________________________
Do you have a valid Driver’s License? ___________
Would you bring a car?
___________
How many years of driving experience do you have? _________________________________
Have you ever been convicted of a crime (other than a traffic violation)? If yes, please explain using a
separate sheet if necessary. ______________________________________________
How did you learn about us? _____________________________________________________
When are you able to serve? ______________
Until when? ________________________
Are there any family, personal or financial obligations that might inhibit your completion of the program?
(if yes, please explain; use another sheet if necessary) _________________________________
____________________________________________________________________________
What other opportunities are you pursuing?__________________________________________
____________________________________________________________________________
Are you familiar with any languages other than English? If so, please state what language and your
ability (limited, proficient or fluent): ____________________________________________
Please list any professional certifications, please include certification numbers, the state where certified
and expiration dates (i.e medical, social work, education):_______________________
___________________________________________________________________________
Do you have any US Military experience? Yes _____ No ______ If yes, please list your branch and
dates of service, military occupation, type of separation and rank at separation: ____________________
__________________________________________________________________________________________
Education and Experience
Please attach official transcripts from your college or university. If you have not attended college,
please attach a copy of your high school diploma. Transcripts may be sent directly from your college or
University to SSND Volunteer Program.
Please attach your most recent resume or curriculum vitae.
Location and Service Preferences
Service Preference (Please mark 1 strong interest, 2 some interest, 3 no interest. Please fill in each
blank line. Please only mark “strong interest” for service areas where you would accept a position if
offered.)
_____Milwaukee Achiever Literacy Services http://www.milwaukeeachiever.org/
Volunteer Coordinator
_____Notre Dame Middle School http://www.ndmswi.org/
Teacher aide and assistant to the after school program director
_____Notre Dame Primary School http://www.ndmswi.org/
Teacher aide with possibility of some teaching responsibilities
_____Mount Mary College http://www.mtmary.edu/
English as a Second Language Specialist and Leadership Development Assistant
_____TYME OUT Youth Ministry and Retreat Center http://www.tymeout.org/
Retreat Director as part of the Retreat Team
____________________________________________________________________________
__________________________________________________________________________
Mother’s Name (or next of kin)
Address
__________________________________________________________________________
City
State Zip
Phone
E-mail address
__________________________________________________________________________
Father’s Name (or next of kin)
Address
__________________________________________________________________________
Please complete and submit the Physician’s Medical Form and the Applicant’s Medical Form after you
are accepted to the SSND Volunteer Program. Your acceptance to the program will be contingent on
clearance by a medical professional.
Indicate the two people (not including relatives, friends or significant others) who will be submitting
reference forms for you. Ask your references to email their forms directly to volunteer@ssnd.org.
Please note that your application is not considered complete until the two references have arrived.
Name
Address
Phone
Employer or Work
Supervisor
Professional or
Educational
SSND Volunteer Program Mission Statement: SSND Volunteers participate in the mission of the
School Sisters of Notre Dame and collaborate with the School Sisters of Notre Dame by working in
international and domestic ministries, focusing on women and children, the marginalized and
economically poor to “enable persons to reach the fullness of their potential as individuals created in
God’s image and assisting them to direct their gifts toward building the earth.” (You Are Sent,
Constitution of the School Sisters of Notre Dame)
After reflecting on the SSND Volunteer Program mission statement, please write an essay that
addresses each of the following:
In 50 words or less, how would a close friend describe the essence of who you are?
What draws you to our program?
What expectations do you have of our program?
What apprehensions do you have of our program?
What skills or experiences have you had that would benefit you as an SSND Program Volunteer (as
related to sustainable living in community, spirituality, service, social justice)?
What is a difficult challenge you have faced or a great risk you have taken? How has this experience
changed you?
Interviewing availability (please mark all that apply):
_____ In person
_____ Skype (skype name: ________________________________)
_____ Telephone (best number: ____________________________)
Your signature/submission via email confirms that you agree to the following:
I attest that all information provided in this application and all attachments to this application are true and
accurate, to the best of my knowledge.
I authorize the SSND Volunteer Program to verify this information and I understand that any false statements may
be cause for disqualification or dismissal from the program.
I understand that this application and its attachments may also be reviewed by the organizations where I am
referred for a service placement.
I authorize the SSND Volunteer Program to conduct a background check.
I _____ waive or _____ do not waive (check one) right of access to my completed reference forms.
__________________________________________________
Signature
________________
Date