VOLUNTEER APPLICATION

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Birthday *

Phone Number *

Email *

Marital Status *

Do you smoke? *

Do you have a criminal record? *

If yes, please explain in detail. *

Personal Interest

How did you first learn about the Women's Care Center? *

We require confidentiality. Would this be a problem? *

Yes No

Could you work with people of different races and/or from different social/economic backgrounds? *

Yes No

Do you work and relate well with people? *

Yes No

Do you believe there are circumstances in which an abortion would be an acceptable choice for a woman in a crisis pregnancy? Please explain your answer. *

Why do you want to be a volunteer in the ministries of the WCC? *

To our clients we serve, we stress abstinence only for the unmarried. What are your ideas on this matter. *

Areas of Service

Availability

Employment

Firm Name *

Position Held *

Business Phone *

How long at this job? *

Job Duties *

May we contact you at this firm? *

Yes No

Christian Commitment

Do you know Christ as your personal savior? *

Do you accept the Bible as God's inspired word? *

Would you be comfortable sharing the gospel of Jesus Christ with clients? *

If no, please explain. *

Church Name *

Phone Number *

Church Address *

Line 1

Line 2

City

State

Zip Code

Country

Denomination *

Pastor's Name *

Please describe any positions held/services performed within the church. *

AUTHORIZATION

I understand that an inquiry may now be made which will provide information concerning my character, general reputation and Christian living.

Date *

Digital Signature *

First

Last

By entering your name you are agreeing that all information above is to be true and correct to the best of your knowledge.