Counseling Ministry Volunteer Application

Counseling Ministry Volunteer Application

Care, Concern, Support and Counseling
Medical Volunteer Information
Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Place of Birth
Languages fluently spoken in addition to English
Preferred Method of Contact

PhoneEmailEither
SPIRITUAL INFORMATION
Are you a member of BMBC?

YesNo
How long have you attended BMBC?
Briefly share your faith journey and relationship with Jesus Christ.
BACKGROUND AND EXPERIENCE
Are you a licensed mental health professional?

YesNo
Your specialty or vocation:
Do you have any formal training or education in counseling or psychology?

YesNo
If yes, please provide details:
Have you volunteered or worked in a counseling or mental health capacity before?

YesNo
If yes, please provide details of your experience:
Please describe any skills, gifts, or experiences you possess that you believe would be valuable in this ministry:
Please share your areas of strength for working with the Counseling Ministry(ex., grief, marriage ministry, singles ministry, support groups, conferences, etc.)
VOLUNTEER COMMITMENT:
Why do you want to volunteer with the Counseling Ministry at BMBC?
How much time are you willing to commit to volunteering per week/month?

3-4 hours per monthSome time during a counseling event (marriage or family conferences)Other
BACKGROUND CHECK

As part of our commitment to maintaining a safe environment for all members, volunteers, and visitors, a background check may be required. By signing below, you consent to a background check if necessary.
Signature
Date

MonthDayYear
Date
Should be Empty:

Counseling Ministry Volunteer Application

Medical Volunteer Information