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 Name
Last Name
A1.3 | Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
A1.4 | Phone Number
*
Please enter a valid phone number.
A1.5 | Emergency Contact
*
First Name
Last Name
A1.6 | Emergency Contact Phone Number
*
Please enter a valid phone number.
A1.7 | What location works best for you?
*
Brandon, MB
Denare Beach, SK
Dryden, ON
Pembina Valley, MB
Steinbach, MB
Thunder Bay, ON
Swan River, MB
Winnipeg, MB
Brandon, MB | What department area interests you the most?
*
Super Thrift
Ready Now Recovery / Community Office
Special Events
Mentorship Track
Denare Beach, SK | What department area interests you the most?
*
Ready Now Recovery / Community Office
Special Events
Mentorship Track
Dryden, ON | What department area interests you the most?
*
Ready Now Recovery / Community Office
Special Events
Mentorship Track
Pembina Valley, MB | What department area interests you the most?
*
Super Thrift
Ready Now Recovery / Community Office
Special Events
Mentorship Track
Steinbach, MB | What department area interests you the most?
*
Super Thrift
Ready Now Recovery / Community Office
Special Events
Mentorship Track
Thunder Bay, ON | What department area interests you the most?
*
Super Thrift
Ready Now Recovery / Community Office
Special Events
Mentorship Track
Swan River, MB | What department area interests you the most?
*
Ready Now Recovery / Community Office
Special Events
Mentorship Track
Winnipeg, MB | What department area interests you the most?
*
Super Thrift
Ready Now Recovery / Community Office
Special Events
Mentorship Track
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?
*
Yes
No
A2.3 | Have you ever been convicted of a crime?
*
Yes
No
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?
*
Yes
No
B1.2 | With which religious organization/denomination?
*
B1.3 | Are you a member in good standing?
*
Yes
No
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.
*
-
Month
-
Day
Year
Date
C1.2 | Select the days that work best for you.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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?
*
Yes
No
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?
*
Yes
No
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 Name
Last Name
P1.2 | Phone Number
*
Please enter a valid phone number.
P1.3 | Email
*
example@example.com
P1.4 | Years Known
*
P2.1 | Name
*
First Name
Last Name
P2.2 | Phone Number
*
Please enter a valid phone number.
P2.3 | Email
*
example@example.com
P2.4 | Years Known
*
F1.0 | Business References
B1.1 | Name
*
First Name
Last Name
B1.2 | Phone Number
*
Please enter a valid phone number.
B1.3 | Email
*
example@example.com
B1.4 | Years Known
*
B2.1 | Name
First Name
Last Name
B2.2 | Phone Number
Please enter a valid phone number.
B2.3 | Email
example@example.com
B2.4 | Years Known
G1.0 | Pastoral References
PA1.1 | Name
*
First Name
Last Name
PA1.2 | Phone Number
*
Please enter a valid phone number.
PA1.3 | Email
*
example@example.com
PA1.4 | Years Known
*
PA2.1 | Name
First Name
Last Name
PA2.2 | Phone Number
Please enter a valid phone number.
PA2.3 | Email
example@example.com
PA2.4 | Years Known
Submit
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