Introduction

Introduction
We at Power of Choice Ministries (POC) are grateful for your interest in helping our ministry and advancing our mission to reach lost teens through volunteering. We may be able to place and develop you in a position that satisfies your calling and the requirements of our ministry if we have a clear understanding of your background. Without regard to race, color, national origin, sex, age, veteran status, or the presence of a medical condition or disability that is not related to their employment, qualified candidates are considered for all open volunteer positions. We appreciate you taking the time to fill out this application and giving of your time to this ministry.

Volunteer Application
Which of the following choices most closely matches your ideal volunteer position? I desire to...*
More choices will come at a later date...

References

(We will contact all references, be sure to choose one that will answer the phone)
Please list at least 3 references who are qualified to evaluate your capabilities and character and meet the criteria below:
- Are NOT related to you (Not family)
- Have known you for at least 6 months
- The first MUST be a PASTOR or Church Leader
Please do not use the same reference more than once on this application
Reference 1 (Pastor/Church Leader)

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference # 2 (Professional Reference)

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference # 3 (Professional Reference)

First NameLast Name
Email
example@example.com
Phone
Please enter a valid phone number.

Work / Occupation information
What is your current employment status?

Employed / Full timeEmployed / Part-timeFull time StudentRetiredUnemployed
What do you do for a living?*
What do you do at your place of employment?
What is the name of your school?
What is your major?
Year of anticipated graduation?
Once you obtain your degree, how do you plan on using it?
What is the name of your place of employment?
What company did you retire from?
After how many years?
City
State
What are your plans going forward?
How long have you been unemployed?
Are you receiving SSI or SSD?
What are your plans in the ministry going forward?

Educational Background
Highest level of Education Completed
Name of School Completed
List high school or college name
Year of Graduation
Did you graduate from any Vocational/Trade School?

YesNoAttended, but did not graduate
Name of Trade School Attended
What trade did you learn?

Mentor Interest
Why do you want to become a mentor?
What challenges do you think young people face today that they need help with the most?
What special skills, talents, abilities or knowledge do you bring to the organization? For example, fundraising, grant writing, computer skills, musical abilities...
What are your hobbies?
If you have any physical condition that would prevent you from performing any activity relating to working with the youth, please explain briefly:

Mentor Interest Part II
Why do you think you can help children or youth by mentoring?
Growing up, did you have a mentor?

YesNo
If yes, please describe your mentor...
Have you participated in a mentoring program before?

YesNo
If yes, what program/organization?
Do you have any experience working with youths?

YesNo
If so, how will it help you in working with your mentees?
Mentoring a young person is a big responsibility and can change the lives of both the mentor and the mentee. What do you hope to gain from the experience and what do you hope the mentee gains from the relationship?

Volunteer Application