Welcome to the Online Screening Form. The data will only be sent to the Safety Officer of your parish, school or other location. All information entered on this form is kept private and secure.
This form is to be completed for all applicants for any position (volunteer or compensated). This is not an employment application. Persons seeking employment will be required to provide additional information. This process is used to help the church provide a safe and secure environment for children, youth and adults who participate in our program and use our facilities.
Volunteer means any unpaid person engaged in or involved in a Diocesan activity, and who is entrusted with the care and supervision of children and/or persons engaged or involved in ministry who have regular individual contact with the elderly or disabled. When you submit this form, it will be sent to the appropriate person.
In connection with your application and for other employment purposes, the Diocese of Dallas may seek background information about you from a consumer reporting agency. This information will be in the form of consumer reports and/or investigative consumer reports.
These reports may be obtained at any time after the Diocese of Dallas receives authorization from you, including any time during the period of your employment if the Diocese of Dallas hires you.
Consumer reports include any written, oral or other communication of information by a consumer reporting agency bearing on your credit standing, character, general reputation and other characteristics that is expected to be used for employment purposes. Consumer reports may include criminal records, and driving records, among other resources.
Accutrak, or another consumer reporting agency, will obtain the reports for the Diocese of Dallas.
You have the right to request information from the Diocese of Dallas about the nature and scope of any investigative consumer report on you that is requested by the Diocese of Dallas. The request must be made in writing and within a reasonable period of time after you have received this disclosure.
* required fields.
Your current primary address is required. Please enter any additional addresses where you have lived in the past five years. To add an additional address, click the plus sign.
At least one phone number is required.
What type of ministry work do you prefer? One or more items can be selected or
deselected from the following list by holding
down the Ctrl key and clicking the left mouse key.
Please enter locations/positions where you currently or are applying to volunteer/work. Click the plus sign to add additional locations/parishes.
Are you a registered member of any location? Select the location below, and time the date since you have been registred:
I am not a registered member of any location
Accutrak-All Saints Parish-DallasAll Saints School-DallasBishop Dunne Catholic School Inc-DallasBishop Lynch High School Inc.-DallasBlessed Sacrament Parish-DallasCathedral Santuario de Guadalupe-DallasCatholic Charities-DallasCatholic Schools Office-DallasChrist the King Parish-DallasChrist the King School-DallasCorpus Christi Parish-FerrisDeacon Formation-Deacons-DallasDivine Mercy of Our Lord Parish-MesquiteEpiphany Mission-WaxahachieFlagged-Good Shepherd Parish-GarlandGood Shepherd School-GarlandHoly Cross Parish-DallasHoly Family Mission-Van AlstyneHoly Family of Nazareth Parish-IrvingHoly Family of Nazareth School-IrvingHoly Spirit Church Parish-DuncanvilleHoly Trinity Parish-DallasHoly Trinity School-DallasHoly Trinity Seminary-IrvingImmaculate Conception Parish,Cor.-CorsicanaImmaculate Conception Parish,GP-Grand PrairieImmaculate Conception School,GP-Grand PrairieJames L. Collins School-CorsicanaJohn Paul II High School Inc.-PlanoMary Immaculate Parish-DallasMary Immaculate School-DallasMater Dei Latin Parish-Irving,Mother of Perpetual Help Paris-GarlandNuestra Senora Del Pilar Paris-DallasOffice of Youth and Young Adult Ministry-Our Lady of Angels Parish-AllenOur Lady of Fatima Mission-GreenvilleOur Lady of Lourdes Parish-DallasOur Lady of Perpetual Help Parish-DallasOur Lady of Perpetual Help Sch-DallasOur Lady of San Juan-St. Theresa-DallasOur Lady of the Lake Parish-RockwallPastoral Center-DallasPastoral Juvenil Hispana-DallasPriests-DallasPrince of Peace Parish-PlanoPrince of Peace School-PlanoPrivate School-Redemptoris Mater Seminary-DallasReligious Order-Sacred Heart of Jesus Vietnamese Parish-CarrolltonSacred Heart of Jesus, Chinese-PlanoSacred Heart Parish-RowlettSanta Clara of Assisi Parish-DallasSanta Clara School-DallasSeminarians-SMU Campus Ministry-DallasSt. Andrew Kim Parish-DallasSt. Ann Parish,Coppell-CoppellSt. Ann Parish,Kaufman-KaufmanSt. Anthony Parish,Dallas-DallasSt. Anthony Parish,Wylie-WylieSt. Augustine Parish-DallasSt. Bernard of Clairvaux Parish-DallasSt. Bernard of Clairvaux School-DallasSt. Cecilia Parish-DallasSt. Cecilia School-DallasSt. Edward Parish-DallasSt. Elizabeth Ann Seton Parish-PlanoSt. Elizabeth Hungary School-DallasSt. Elizabeth of Hungary Parish-DallasSt. Elizabeth Parish,Bonham-BonhamSt. Francis of Assisi Parish, Frisco-FriscoSt. Francis of Assisi Parish, Lancaster-LancasterSt. Francis of Assisi, Whitesboro-ShermanSt. Gabriel the Archangel Parish-McKinneySt. James Parish-DallasSt. John Nepomucene Parish-EnnisSt. John the Apostle Parish-TerrellSt. Joseph Parish,Commerce-CommerceSt. Joseph Parish,Richardson-RichardsonSt. Joseph Parish,Wax.-WaxahachieSt. Joseph School,Richardson-RichardsonSt. Joseph School,Wax.-WaxahachieSt. Joseph Vietnamese Parish-Grand PrairieSt. Joseph's Residence Inc.-DallasSt. Juan Diego Parish-DallasSt. Jude Chapel-DallasSt. Jude Parish-AllenSt. Luke Parish-IrvingSt. Luke School-IrvingSt. Mark Catholic School-PlanoSt. Mark the Evangelist Parish-PlanoSt. Martin Parish-ForneySt. Mary of Carmel Parish-DallasSt. Mary of Carmel School-DallasSt. Mary Parish-ShermanSt. Mary's School-ShermanSt. Michael Parish, McKinney-McKinneySt. Michael the Archangel Parish, Garland-GarlandSt. Michael the Archangel Parish, Grand Prairie-Grand PrairieSt. Monica Parish-DallasSt. Monica School-DallasSt. Patrick Parish, Dallas-DallasSt. Patrick Parish, Denison-DenisonSt. Patrick School, Dallas-DallasSt. Paul School-RichardsonSt. Paul the Apostle Parish-RichardsonSt. Peter the Apostle Parish-DallasSt. Peter Vietnamese Parish-DallasSt. Philip St. Augustine Catholic Academy-DallasSt. Philip the Apostle Parish-DallasSt. Pius X Parish-DallasSt. Pius X School-DallasSt. Rita Parish-DallasSt. Rita School-DallasSt. Thomas Aquinas Parish-DallasSt. Thomas Aquinas School-DallasSt. William Parish-GreenvilleTexas Catholic-Dallasunknown unknown-dallas
List three personal references you have known three years or more who are not former employers or members of your immediate family. Email is not required but highly recommended.
Because the Diocese of Dallas cares for our children, youth and adults and desires to
protect them, we ask you to please answer the following questions. We understand the
following questions are personal and we will take all reasonable precautions to protect
Are you presently abusing alcohol or using any illegal drugs?
Have you ever been convicted of, pleaded guilty or no contest to, placed on probation for, given
probation, given community supervision, or given deferred adjudication for a crime or are you now
under charges for any criminal offense?
Answering yes to these questions will not automatically exclude you for volunteering. The following
lines are for any explanations or details that you would like to include for yes answers above.
Social Security Number (Last 4 digits only) *
Driver License Number
Driver License State
District of Columbia