VOLUNTEER APPLICATION FORM

Adult & Teen Challenge of Central Canada Volunteer Application Form

After completing this application, a representative of Adult & Teen Challenge of Central Canada (ATCCC) will reach out to you shortly. Please be as detailed as possible to help us find the most suitable service area. Note that we take confidentiality very seriously, and ATCCC will never share your information with any third-party agencies without your explicit consent.
A1.0 | General Information
A1.1 | Email
example@example.com
A1.2 | Name

First NameLast Name
Date of Birth

MonthDayYear
Date
A1.3 | Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
A1.4 | Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
A1.5 | Emergency Contact

First NameLast Name
A1.6 | Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
A1.7 | What location works best for you?
Kenora, ON | What department area interests you the most?
British Columbia | What department area interests you the most?
Brandon, MB | What department area interests you the most?
Denare Beach, SK | What department area interests you the most?
Dryden, ON | What department area interests you the most?
Pembina Valley, MB | What department area interests you the most?
Steinbach, MB | What department area interests you the most?
Thunder Bay, ON | What department area interests you the most?
Swan River, MB | What department area interests you the most?
Winnipeg, MB | What department area interests you the most?
A1.9 | Why do you want to serve as a volunteer for ATCCC?
A2.0 | List any previous volunteer experience below.
A2.1 | List any relevant work skills and experience or training.
A2.2 | Do you have a valid drivers licence?
A2.3 | Have you ever been convicted of a crime?
A2.4 | Please explain.
B1.0 | Ministry Credentials

Adult & Teen Challenge is a Christian ministry with an evangelical and Pentecostal theological perspective seeking to help those with life-controlling problems from all backgrounds. Because of the unique nature of our ministry, we are concerned that all our employees and volunteers feel comfortable with our Christ-centered teaching and behavioral standards. The staff and volunteers we employ must be role models who bear a Christ-like witness. We commit to maintaining our identity as Evangelical Christians, while being sensitive to the diverse context in which we express that identity. Please take a moment to answer the following questions, which will help us in evaluating our compatibility.
B1.1 | Do you have ministry credentials?
B1.2 | With which religious organization/denomination?
B1.3 | Are you a member in good standing?
B1.4 | Please explain.
B1.5 | What is the name of your home church and how long have you attended there?
C1.0 | Availability
C1.1 | Date that you are available to start.

MonthDayYear
Date
C1.2 | Select the days that work best for you.
C1.3 | Availability notes.
C1.4 | Proposed length of volunteer commitment.
D1.0 | Other

As Adult & Teen Challenge ministers regularly to individuals from the drug culture, please answer the following questions.
D1.1 | Have you ever used tobacco, illegal drugs, or alcohol?
D1.2 | Please explain.
D1.3 | Do you know a staff or client who is currently involved, or was involved with ATCCC in the past?
D1.4 | Explain relationship.
D1.5 | Is there anything else you would like to tell us about yourself?
E1.0 | Personal References
P1.1 | Name

First NameLast Name
P1.2 | Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
P1.3 | Email
example@example.com
P1.4 | Years Known
P2.1 | Name

First NameLast Name
P2.2 | Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
P2.3 | Email
example@example.com
P2.4 | Years Known
F1.0 | Business References
B1.1 | Name

First NameLast Name
B1.2 | Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
B1.3 | Email
example@example.com
B1.4 | Years Known
B2.1 | Name

First NameLast Name
B2.2 | Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
B2.3 | Email
example@example.com
B2.4 | Years Known
G1.0 | Pastoral References
PA1.1 | Name

First NameLast Name
PA1.2 | Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
PA1.3 | Email
example@example.com
PA1.4 | Years Known
PA2.1 | Name

First NameLast Name
PA2.2 | Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
PA2.3 | Email
example@example.com
PA2.4 | Years Known
Should be Empty:

Adult & Teen Challenge of Central Canada Volunteer Application Form

A1.0 | General Information

B1.0 | Ministry Credentials

C1.0 | Availability

D1.0 | Other

E1.0 | Personal References

F1.0 | Business References

G1.0 | Pastoral References