HOPE -center-
MEDICAL SERVICES+PREGNANCY RESOURCES +COUNSELING SERVICES
Volunteer Application
Information on your application is confidential and will only be shared with those responsible for your training and placement. This information will allow us to find the volunteer position that best suits your interests, skills, and time.
About You
Name
Date of Birth
-
Month
-
Day
Year
Date
Gender
I am over the age of 18:
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
Format: (000) 000-0000.
E-mail Adddress
example@example.com
Preferred method of Communication
Spouse
Skills and Experience
Occupation/Employer
Education/Training
Previous Volunteer of Work-Related Experience
Special Skills
Community Affiliations
How did you learn about Hope Center?
P.O. Box 802 Americus, Georgia 31709 229.928.2802
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HOPE
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MEDICAL SERVICES+PREGNANCY RESOURCES+COUNSELING SERVICES
Have you ever been involved with any of the following? Circle all the apply.
Pro-Life Pregnancy Center
Biblical Counseling Center
Medical Clinic/Services
Mentoring/Discipleship Program
If yes, where? Share about your experiences and responsibilities.
What aspects of volunteering do you enjoy the most? The least?
What would you like to gain by volunteering?
Your Local Church
Church Name
Phone
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
City
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
State
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Zip
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Senior Pastor's name
Denominational ties, if any
How long have you been involved in your church?
Are you a regular attendee at your church?
Explain
What ministries are you currently involved in through your church?
P.O. Box 802
Americus, Georgia 31709
229.928.2802
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HOPE center
MEDICAL SERVICES+PREGNANCY RESOURCES +COUNSELING SERVICES
Doctrinal Values
Do you believe in the Bible to be the authoritative, inerrant, and infallible revelation from God to men?
Yes
No
Do you believe in the Trinity, consisting of three persons, Father, Son, and Holy Spirit in one God?
Yes
No
Do you believe that all human beings are born with a sinful nature and that God's remedy for man's ruins is entirely of grace, through one person's acceptance of the finished work of Jesus Christ?
Yes
No
Do you believe that Jesus Christ was born of a virgin, lived a sinless life and died as our representative on the cross?
Yes
No
Do you believe that Jesus was physically resurrected to prove the completeness of His work, providing salvation for all men?
Yes
No
Do you believe in the church, the body of Christ, whose mission is to preach the Gospel to the entire world?
Yes
No
Do you believe that those that are believers shall be forever in the presence of God and those that have rejected Christ will be separated from God forever?
Yes
No
Personal Experiences & Beliefs and Values
Briefly describe your testimony
What is your attitude toward sharing your personal faith in Jesus Christ?
Have you ever received training to share your faith in Jesus Christ?
Yes
No
If yes, when and what type of program
P.O. Box 802
Americus, Georgia 31709
229.928.2802
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HOPE
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MEDICAL SERVICES+PREGNANCY RESOURCES
+COUNSELING SERVICES
Yes
No
If yes, please tell us about your experience
Do you have personal experience relating to any of these situations? Please circle all that apply.
Infertility
Miscarriage
Adoption
Abortion
Stillbirth/Infant Loss
If yes, please share as you feel comfortable.
Yes
No
If yes, please explain
Yes
No
If yes, explain
Yes
No
If yes, please explain
References
Please provide three references. The first reference should be your current pastor. If you have any specific skills, such as medical or counseling skills, please provide a reference that can share about your experience in that field.
Current Pastor
Contact Number
Email Address
Ministry/Character Reference
Contact Number
Email Address
Ministry/Character Reference
Contact Number
Email Address
P.O. Box 802
Americus, Georgia 31709
229.928.2802
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Volunteering at the Hope Center
As we seek to match and train you to the best volunteering fit, please remember we house several different ministries that operate on different schedules with varying goals. Please check all of the volunteering options that you feel would best match your skill set.
Reception /Greeting - Greet clients at the front desk; answers phone; schedule appointments.
Data Entry/Paperwork - Scan and fax records as needed, input client information into our digital data base.
Media/Technology - Help with any media or technology needs such as recording, flyers or social media.
Client Advocate - Lead parenting/prenatal classes, share the gospel, spend time with clients.
Medical - Serve as a nurse or doctor taking wellness visits and maintaining accurate notes.
Food Ministry - Offers support with food preparation for internal meetings and special organizational gatherings.
Building Upkeep - Partner with us by participating in the regular cleaning and maintenance of our facilities.
Baby Boutique - Stock the baby boutique with items; sort donations; meet clients as they shop in-house.
Men's Ministry - Meet with men that come about fatherhood, share the gospel, and grow in discipleship.
Mentoring/Discipleship - Meet one-on-one with a client to help them know Christ more and make a plan for their daily life.
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