Southeast Region Service Interest Form Clone

Southeast Region Service Interest Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number (cell preferred)*

Area CodePhone Number
Preferred Means of Contact

EmailPhoneTextOther
Please confirm your contact information based on your preferred contact method:
Current Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ehtnicity/Nationality*
Marital Status*

MarriedSingle
Age*
Do you have your own transportation?*

YesNo
If you are an enrolled Baha'i, what is your Baha'i ID # (if known)
Languages spoken (please list any languages you are comfortable communicating in with others in the context of a home visit or study circle, etc.)
Please provide the name of an individual/institution that can provide a reference (i.e.: Auxiliary Board member, RTI coordinator, Local Spiritual Assembly:*
Reference phone number

Area CodePhone Number
Reference email:
example@example.com
Have you completed any Institute (Ruhi) courses?*

YesNo
If yes, which courses have you taken in the last 3 years?

Book 1: Reflections on the Life of the SpiritBook 2: Arising to ServeBook 3: Teaching Children's Classes, Grade 1Book 3: Teaching Children's Classes, Grade 2Book 3: Teaching Children's Classes, Grade 3Book 3: Teaching Children's Classes, Grade 4Book 4: The Twin ManifestationsBook 5: Releasing the Powers of Junior YouthBook 6: Teaching the CauseBook 7: Walking Together on a Path of ServiceBook 8.1: The Covenant of Baha'u'llahBook 8.2: The Covenant of Baha'u'llahBook 8.3: The Covenant of Baha'u'llahBook 9.1: Gaining an Historical PerspectiveBook 9.2: Gaining an Historical PerspectiveBook 9.3: Gaining an Historical PerspectiveBook 10.1: Building Vibrant CommunitiesBook 10.2: Building Vibrant CommunitiesBook 10.3: Building Vibrant CommunitiesBook 11.1: Material MeansBook 11.2: Material MeansBook 11.3: Material MeansBook 12.1: Family and the CommunityBook 12.2: Family and the CommunityBook 12.3: Family and the CommunityBook 13.1: Engaging in Social ActionBook 13.2: Engaging in Social ActionBook 13.3: Engaging in Social ActionBook 14.1: Participating in Public DiscourseBook 14.2: Participating in Public Discourse
Which courses have you taken more than 3 years ago?

Book 1: Reflections on the Life of the SpiritBook 2: Arising to ServeBook 3: Teaching Children's Classes, Grade 1Book 3: Teaching Children's Classes, Grade 2Book 3: Teaching Children's Classes, Grade 3Book 3: Teaching Children's Classes, Grade 4Book 4: The Twin ManifestationsBook 5: Releasing the Powers of Junior YouthBook 6: Teaching the CauseBook 7: Walking Together on a Path of ServiceBook 8.1: The Covenant of Baha'u'llahBook 8.2: The Covenant of Baha'u'llahBook 8.3: The Covenant of Baha'u'llahBook 9.1: Gaining an Historical PerspectiveBook 9.2: Gaining an Historical PerspectiveBook 9.3: Gaining an Historical PerspectiveBook 10.1: Building Vibrant CommunitiesBook 10.2: Building Vibrant CommunitiesBook 10.3: Building Vibrant CommunitiesBook 11.1: Material MeansBook 11.2: Material MeansBook 11.3: Material MeansBook 12.1: Family and the CommunityBook 12.2: Family and the CommunityBook 12.3: Family and the CommunityBook 13.1: Engaging in Social ActionBook 13.2: Engaging in Social ActionBook 13.3: Engaging in Social ActionBook 14.1: Participating in Public DiscourseBook 14.2: Participating in Public Discourse
Have you tutored a Ruhi course?*

YesNo
If yes, which Books have you tutored?

Book 1: Reflections on the Life of the SpiritBook 2: Arising to ServeBook 3: Teaching Children's Classes, Grade 1Book 3: Teaching Children's Classes, Grade 2Book 3: Teaching Children's Classes, Grade 3Book 3: Teaching Children's Classes, Grade 4Book 4: The Twin ManifestationsBook 5: Releasing the Powers of Junior YouthBook 6: Teaching the CauseBook 7: Walking Together on a Path of ServiceBook 8.1: The Covenant of Baha'u'llahBook 8.2: The Covenant of Baha'u'llahBook 8.3: The Covenant of Baha'u'llahBook 9.1: Gaining an Historical PerspectiveBook 9.2: Gaining an Historical PerspectiveBook 9.3: Gaining an Historical PerspectiveBook 10.1: Building Vibrant CommunitiesBook 10.2: Building Vibrant CommunitiesBook 10.3: Building Vibrant CommunitiesBook 11.1: Material MeansBook 11.2: Material MeansBook 11.3: Material MeansBook 12.1: Family and the CommunityBook 12.2: Family and the CommunityBook 12.3: Family and the CommunityBook 13.1: Engaging in Social ActionBook 13.2: Engaging in Social ActionBook 13.3: Engaging in Social ActionBook 14.1: Participating in Public DiscourseBook 14.2: Participating in Public Discourse
Do you have experience with any of the following?:

Home VisitsDoor-to-Door TeachingHosting Devotional MeetingsTeaching Children's ClassesAnimating a Junior Youth GroupHosting Firesides
Other experience you would like to share:
I am interested in (choose one or more areas of service you are interested in:*

Homefront Pioneering to a neighborhood in a more advanced clusterHomefront Pioneering to a cluster at the first milestone of developmentSupporting work in a nearby cluster as a mobile tutor or as part of a visiting teamHomefront pioneering in the South Carolina EnterpriseDeputizing a pioneerOther
Are you open to pioneering anywhere in the Southeast?*

YesNo
If you answered "no" above, which cluster(s) do you wish to serve?
I am able to serve as of (date)
What time period are you considering?*

1-3 months3-6 months6 months - 1 year1-2 yearsLong term (3 or more years)
Should be Empty: