2008-2009 Time and Talent Form

Each family member should fill out a separate form.

Name:
Street Address:
City/State:
ZIP Code:
E-mail Address:
Home Phone:
Work Phone:
Cell Phone:
I am: an Adult a College Student a Student

All volunteers within the Diocese of Rockford who have contact with children or young people in their volunteer activities for parishes are mandated to fulfill the following requirements:

1. Complete an Illinois Conviction Information Request Form or verification update;
2. Complete an Acknowledgment of Mandated Reporter Status Form or verification update;
3. Read and sign receipt form for the Sexual Misconduct Norms Booklet;
4. Attend a session of the Protecting God's Children Workshop; and
5. Read and sign the Volunteer Acknowledgment for the Code of Pastoral Conduct of the Rockford Diocese.

Check the box for each ministry in which you would like to participate.

Items marked with a (*) are appropriate for students.

Administration & Fellowship

Adult Faith Enrichment

Worship Ministry

Christian Service: Parish Service

Christian Service: Community Outreach

Religious Education

PLEASE NOTE that due to circumstances beyond our control, sometimes there are errors in form submission. On some occasions personal firewalls may also interrupt the submission of form data. Therefore we recommend that you print a copy of this page BEFORE clicking on the "Submit Form" button. In the event that you receive an error stating that your data was not submitted, you can then submit the hard copy instead. We apologize for any inconvenience that this may cause.