The Mercy Seat Volunteer Application Form

The Mercy Seat

Volunteer Application Form
Friend, we are grateful for your love for our ministry and desire to volunteer with our ladies at The Mercy Seat. There are certain guidelines you should know and criteria that must be met prior to volunteering at The Mercy Seat. These guidelines and requirements are set in place for your safety, as well as the safety of our ladies.

We ask that you read and fill out this form in its entirety and sign. Your singnature is your agreeing to the rules and guidelines

VOLUNTEER RULES AND GUIDELINES:
1. You are never to give any of the clients money. Any items or gifts must be pre-approved by the Director.
2. When driving a client to an appointment, please go straight there and straight back to The Mercy Seat. Please make no other stops (unless approved prior by our Director).
3. You are not to have any type of medication, alcohol or nicotine on you, in your home, vehicle or property, when you are with a client.
4. NO secular music or television when a client is in your care.
5. Please no cursing or wordly/negative talk or gossiping around our ladies.
6. If a client opens up and shares with you, that is great. You should feel honored because many don't, due to trust issues. Please do not tell anyone else other than staff their business. If they take the chance and trust you, please do not break that trust. We are in the healing business, not the breaking.
7. The client is not allowed to ever use your phone or even have access to it. Please keep it in your posession at all time.
8. Do not make phone calls for them to (boyfriend, children, friends, parents, NO ONE).
9. Do not give the clients your phone number. (Unless approved by the Director)
10. If you are transporting a client to a doctors office or the hospital, you must stay with them and make sure the client tells the medical staff that she is in a Substance Abuse Recovery Program. NO NARCOTICS!!!
11. If you are transporting a client to any other location, you are to be with them at all times. If they go to the bathroom please go with them and wait outside of the door.
12. Unless approved prior to outing, no eating out at restraunts, shopping at stores, going to your home or any place that was not planned.
13. If you are in recovery yourself, you must have at least two years clean and sober. This includes alcohol and marijuana.
I. Personal Data

Tell us about yourself
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Mobile No*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender

MaleFemale
Are you employed?*

YesNo
Please check all that apply.*

Full-TimePart-TimeSelf-EmployedFlexible ScheduleWork on the weekendsDo not work on the weekendsRetiredUnemployed
Have you ever been addicted to drugs or alcohol?*

YesNo
If yes, how long have you been clean? Your sobriety date please.
Do you drink alcohol now?*

YesNo
How often do you drink alcohol?*

DailyWeekendsSpecial occasionsRarely and always in the privacy of my own homeNever
Do you use Nicotine?*

YesNo
Do you understand The Mercy Seat is a NICOTINE FREE program and that you are not to use, any form of nicotine nor give it to our ladies? You are not allowed to have it on your person or in your vehicle while with one of our ladies. Furthermore, do you agree to not bring it on our campus/property?*

Yes, I agreeNo, I do not agree
Do you have any current or past legal history that we should be aware of, before running a background check? (DUI, Possession of illegal substances/paraphernalia, warrants, domestic violence, etc.)*

YesNo
If yes, below please elaborate with dates and if these are active or closed. If this does not apply to you, please type N/A below.*
Please give a short version of your salvation story and your current walk with Jesus.*
The Mercy Seat is a Christ-Centered 12 month residential substance abuse recovery program for women. We are a non-profit and no-cost to our client program. Therefore, we depend on our Lord and our community for support us. Not only financially, but, also with volunteers to allow our program to be the best for our clients. There are many volunteer needs throughout our program and we pray that one is the perfect fit for you.

Please be aware, that this is Volunteer work, there is no payment monetarily. But we assure you that the gift you will receive through loving and encouraging our ladies far out weighs anything money can buy.
Why are you interested in volunteering with The Mercy Seat? (Example: "I have a heart for the addicted", "I have family members who have suffered", "I just feel the leading of the Holy Spirit", "I think it's a great ministry and just want to help.")*

0/300
In what areas are you interested in volunteering:*

Weekly Morning DevotionTransporting ladies to appointmentsTeaching a classDoing an arts/crafts project with the ladies (once, weekly or monthly)Sitting with ladies for an hour or two (We call this "Lady Sitting")Be a weekend relief partner ("Lady Sitting" over night)Other
In what capacity do you see yourself assisting/volunteering with The Mercy Seat?*
How did you hear about The Mercy Seat?*
After submitting your application, we will contact you.

Thank you so much and may God bless you for your willing and obedient heart!
VIII. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
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The Mercy Seat

I. Personal Data

VIII. Applicant's E-Signature