Form
Date
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Month
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Day
Year
Date
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Volunteers must be at least 18 years old. Are you at least 18 years old?
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Yes
No
Are you able to commit to a reoccurring volunteer slot?
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Which day(s) are you available?
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Monday
Tuesday
Wednesday
Thursday
Are you able to commit to at least 4 hours a week?
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Education
How many years of High School did you complete?
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Diploma?
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Yes
No
What school did you attend?
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College or Vocational School: Number of Years Completed
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Which School(s) did you attend?
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Other Trainings or Degrees?
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Prior Volunteer Experience
Organization(s)
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From
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Month
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Day
Year
To
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Month
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Day
Year
Employment History (most recent employment)
Employer
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From
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Month
-
Day
Year
To
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Month
-
Day
Year
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal History
Have you ever been convicted of a crime
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Yes
No
If Yes, explain:
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What is your reason for seeking to volunteer at A Hope Center?
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The heart of our ministry is pro-life. Please explain how being pro-life aligns with your faith.
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Since A Hope Center is a faith-based ministry. Please write a brief statement about how your faith would affect your volunteer work at this center.
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What special skills, talents, or gifts would you bring to this ministry?
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Briefly explain your understanding of the Biblical principles on sexual integrity.
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Briefly explain your understanding of Biblical principles on abortion.
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How do you rate yourself in the following areas?
1 Star = No knowledge and 5 Stars = Expert
Knowledge of abortion methods
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1
2
3
4
5
Knowledge of laws concerning abortion
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1
2
3
4
5
Are you currently seeking to adopt a child?
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Yes
No
At which AHC location are you able to serve?
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References
Church Name
*
Positions you have served in the church?
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Spiritual Reference
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First Name
Last Name
Phone Number or Email
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Professional Reference
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First Name
Last Name
Phone Number or Email
*
Personal Reference (Not a relative)
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First Name
Last Name
Phone Number or Email
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Limited Background Check Authorization
Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
State of Birth
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Race
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Gender
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Female
Male
Signature
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Today's Date
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Month
-
Day
Year
I certify that I have read and that I agree with A Hope Center’s Statement of Faith.
Signature
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Today's Date
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Month
-
Day
Year
Submit
Submit
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