On-Line Application

Apply On-Line: Primary Application

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How does the BSVM application process work?
Bon Secours Volunteer Ministry is an eleven month program that begins in mid-August and concludes the following mid-July. Although it might seem early, the application process for the program begins in the fall and winter months preceding the August start date. The following overview of our application process should answer many of your questions and help you meet the application deadlines. view more

Application: Forms and Documents

The application forms and documents are available in a PDF format. The forms can be downloaded, viewed, filled on-line, printed and/ or saved to be attached to an email message at a later date. view more

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Apply On-Line: Primary Application

Submit an On-Line Primary Application:
Please enter your information below and submit: (To move to the next field, press [TAB])

(Bon Secours Volunteer Ministry does not share e-mail information and/or data with any other organization)

* Required Fields
Personal Information
* First Name:
*Last Name:
*E-mail:
	Gender:

Contact Information
Present Address
*Address:
City: State: *Zip:
* Phone: (Area Code)Phone# Date address is no longer valid: (MM/DD/YY)
Permanent Information (if different from above)
Address:
City: State: Zip:
Phone: (Area Code)Phone#

Emergency Contact
First Name:
Last Name:
Relationship:
Address:
City: State: Zip:
Phone: (Area Code)Phone#

Education
High School:
Address:
City: State: Zip:
Dates Attended:		Month/Year Graduated:(mm/yy)

College/University:
Address:
City: State: Zip:
Dates Attended:		Month/Year Graduated:(mm/yy)
Major:		Minor:

Graduate School:
Address:
City: State: Zip:
Dates Attended:		Month/Year Graduated:(mm/yy)
Major:		Minor:

Trade School:
Address:
City: State: Zip:
Dates Attended:		Month/Year Graduated:(mm/yy)
Major:		Degree/Cert/Lic.:

Skills
Are you / will you be certified in the health care field? No Yes (If yes, explain )
Foreign Language(s): (List )


Military Service
Have you served in the military? Yes No		If Yes, state branch, rank/position and dates of service.

Employment History
List your last three (3) employers starting with the present one. Give approximate dates and a brief description of your position.
Employer (1):
Address:
City: State: Zip:
Dates Employed	To :(MM/YY) From:(MM/YY)
Describe Duties Performed:

Employer (2):
Address:
City: State: Zip:
Dates Employed	To :(MM/YY) From:(MM/YY)
Describe Duties Performed:

Employer(3):
Address:
City: State: Zip:
Dates Employed	To :(MM/YY) From:(MM/YY)
Describe Duties Performed:

Area of Interest
Bon Secours Volunteer Ministry specializes in health care, education, and social service. Please indicate your preferred area of interest. Place a “1” next to your first choice of area, a “2” next to your second choice and a “3” next to your third choice. Health Care Education Social Service/ Human Services

Health Care Public health education in the community/Parish Nursing – Tele-Heart Program. Serve as a Patient Health Educator at Bon Secours hospital. Assist in the Emergency Department at Bon Secours hospital. Assist in the Vascular Lab at Bon Secours hospital. Assist in the Physical Therapy Department at Bon Secours hospital. Other health related

Education Serve as a teaching assistant at a tuition-free Catholic middle school for young women. Minister at a learning center for developmentally disabled adults. Assist young mothers seeking their GED and their children at a family resource center.

Social Service/Human Services Assist at a day program for homeless women Working with young parents seeking their GED and their children at a family resource center. Serving in the Social Work department at a hospital which serves those facing economic injustice.
No preference//I’m looking forward to the opportunity to serve in any capacity

References
Please list the names of four people whom you intend to ask to serve as a reference. Do not include relatives. If possible, list individuals who have know you for at least two years. A reference form specific to each individual’s role is available on the website. You will include our reference forms from these individuals with the secondary application.
A professor. Preferably, one who has worked with you for more than one semester.
Title: Professor Name:
Address:
City: State: Zip:
Phone: (Area Code)Phone#

An advisor, mentor, past volunteer coordinator, youth minister, campus minister, or pastor.
Title Name:
Address:
City: State: Zip:
Phone: (Area Code)Phone#

An employer or supervisor. Preferably, one who has supervised you in a paid position over six months.
Title Name:
Address:
City: State: Zip:
Phone: (Area Code)Phone#

A peer with whom you have lived for, at least, a year.
Name:
Address:
City: State: Zip:
Phone: (Area Code)Phone#

Other Information
How did you hear about this program?		Other:(specify)

Automotive Information
Do you have a drivers license? Yes No		If Yes, what state.
License expires:(MM/YYYY)
Do you plan to use your car during your assignment? Yes No

Essays
Essays: Why are you applying to Bon Secours Volunteer Ministry? Please address the questions completely and candidly. Your responses are one way for us to know you better and to help us determine an appropriate placement. Feel free to expand on any questions asked.

Essay 1:Please explain your motivation and expectations for becoming a Bon Secours Volunteer. Essay 1:

Essay 2: How do you see yourself participating in the Sisters of Bon Secours’ commitment to justice in radical solidarity with the poor, the suffering, and those most in need? Essay 2:

Essay 3: How will you share compassion, healing, and liberation, the charism of the Congregation of Bon Secours, with others? How might this sharing, particularly to those in need, deepen your relationship with yourself and with others? Essay 3:

Essay 4: Bon Secours volunteers live in an intentional community where they share reflections, meals, chores, and social times. How do you see yourself fitting into a community living situation? What are your hopes and concerns about this? What strengths do you have that will help you address these concerns? Essay 4:

Essay 5: What is your understanding of a simple lifestyle? How do you feel about living on a limited budget, sharing resources with others, and living simply? Essay 5:

Please include any additional information that you believe would be important for us to know. Additional Information

Although this application places no legal obligation either on you or on the Bon Secours Volunteer Ministry Program, it does indicate a serious intention on your part to join the program.