Vincentian Service Corps

...a year of service makes a lifetime of difference

Contact Us

Vincentian Service Corps-Central
4330 Olive Street
St. Louis, MO 63108

Contact Vincentian Service Corps - Central

office 314-533-4770 ext. 103 or 223
cell 314-484-7524
Fax 314-533-3226

Want the real scoop on St. Louis and what a year with the VSC is like? Fill out the PRELIMINARY PROFILE below and we will contact you. If you would like an application, please indicate this in the form below. This is NOTan application for membership in Vincentian Service Corps.

If you prefer, you may download the MS Word file to mail or fax back, or you can return the completed Word doc as an email attachment. Thank you.

*Asterisks indicate required fields
Personal Information
First Name*
Last Name*
Email address*
Present Address*
Address line 2
City*
State*		Zip Code*
Area Code*		Telephone*
Permanent Address, if different from above
Permanent Address
Address line 2
City
State		Zip Code
Area Code		Telephone
Marital Status		Single Married Divorced Widowed
Gender		Male Female
Date of Birth
College currently attending (if applicable)
Major		Minor
Expected Graduation Date		Degree
Foreign Language
Level of Proficiency		Read Write Converse
Previous Volunteer Experience
Areas of Interest (Check all that apply)		Advocacy/Casework HIV/AIDS Ministry
		Teaching/Elementary Teaching/Secondary
		Youth Work Day care
		Outreach to homebound elderly
		Health care/Nursing
		Poverty relief services/Food banks
		Not sure Other
Tell us something about yourself
Why are you thinking about volunteering?
What questions can we answer for you?
Electronic Signature (please type name)

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