Volunteer Application

Impacting LIFE one heart at a time.

This application takes up to 45 minutes to complete. Your progress won’t be saved if you leave without submitting the application, so please allow enough time to finish!

The application won’t submit unless all required sections are completed.

Due to the length of this form, we recommend typing your long-form answers into a word or notes document and copy and pasting them into the fields below.

Contact Information

Applicant's Name(Required)

First Last

Applicant's Address(Required)

Address Address line 2 City State Zip

Applicant's Phone(Required)

Home or Cell(Required)

Home

Cell

Ok to text?

Yes, ok to text.

Applicant's Email(Required)

Applicant's Church

Personal Information

Date of Birth(Required)

Relationship Status:(Required)

Single

Married

Divorced

Widowed

Employment Information

Employer's Name

First Last

Full or Part Time

Full Time

Part Time

Occupation

Emergency Contact

Emergency Contact's Name(Required)

First Last

Emergency Contact's Relationship to Applicant(Required)

Emergency Contact's Phone(Required)

Home or Cell(Required)

Home

Cell

Personal Beliefs

How long have you been a Christian?(Required)

What does it mean to be a Christian?(Required)

Briefly explain how your life has changed since you accepted Jesus:(Required)

How frequently do you read the Word?(Required)

Volunteering at CPC is spiritual warfare; how do you feel you will personally deal with this?

Personal Views and Knowledge

When do you feel sexual intercourse is permissible?(Required)

When do you feel abortion is permissible? If ever, please explain.(Required)

Has anyone in your close circle of friends/family experienced an unplanned pregnancy?

Yes

Has anyone in your close circle of friends/family experienced an unplanned pregnancy? If yes, please explain.

Have you had a personal abortion experience?(Required)

Yes

If yes, have you been through abortion recovery counseling?(Required)

Yes

Have you ever counseled a women considering abortion?

Yes

Have you ever counseled a women considering abortion? If yes, please explain.

Please make a general evaluation of your knowledge of abortion procedures, risks, laws, etc.

Excellent

Good

Fair

Poor

How do you feel about a woman making an adoption plan?(Required)

Are you currently seeking to adopt a child?(Required)

Yes

Undecided

Personal Strengths and Background

What are your personal strengths?(Required)

What are areas in which you'd like to grow?(Required)

What personality types do you have difficulty working with?

How do you resolve conflict/disagreements?

Have you ever been convicted of a felony?(Required)

Yes

Have you ever been convicted of a sex-related crime?(Required)

Yes

If yes to either of above questions, please explain:

Availability

Availability(Required)

Weekday Mornings

Weekday Evenings

Weekday Afternoons

Weekends

Work and Volunteer Experience

Summarize your previous work and volunteer experience, including any volunteer role in the pro-life movement.(Required)

Special Skills or Qualifications

Skills or Qualifications

Accounting/Bookkeeping

Admin/Clerical/Office

Artist

Balloon Animals

Computer Skills

Construction

Data Entry Specialist

EMT/Paramedic

Equipment Repair

Face Painting

Flower Arranging

Foreign Language (specify below)

Graphic Art and Design

Handyman (specify below)

Housekeeping

IT Computer Repair

IT Programming Code

IT Servers/Firewalls

IT SQL Database

Journalism

Landscaping

Lead/attend a small group

Licensed Caterer

Marketing/Sales

Mentoring/Counseling

Musical Instrument (specify below)

Nurse/Sonographer

Organization

Photographer

Public Speaking

Singer

Sound Equipment Operator

Teaching

Videographer

Other (specify below)

Foreign Language(Required)

Handyman(Required)

Musical Instrument(Required)

Other Skill

References

Please list contact information for one friend and for your pastor (or spiritual mentor) that we may contact for references.

Friend's Name(Required)

First Last

Friend's Phone

Friend's Email(Required)

Friend's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Pastor or Spiritual Mentor's Name(Required)

First Last

Pastor's Phone

Pastor's Email(Required)

Pastor's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Agreement & Signature

I understand that if I am accepted as a volunteer, any false statements, omissions or other misrepresentations made by me on this application may result in my immediate dismissal. By signing and submitting this form, I acknowledge that all the above information is accurate to the best of my knowledge.

Applicant's Name 2(Required)

First Last

Applicant's Signature(Required)

Today's Date(Required)

MM slash DD slash YYYY

Once you click submit, you will be redirected to our Statement of Faith, Statement of Principle, and Confidentiality Agreement to complete your Volunteer Application.

Volunteer Application

Contact Information

Personal Information

Employment Information

Emergency Contact

Personal Beliefs

Personal Views and Knowledge

Personal Strengths and Background

Availability

Work and Volunteer Experience

Special Skills or Qualifications

References

Agreement & Signature

Contact us

Contact us

If you are experiencing an unexpected pregnancy, call us at 757.499.4444 to make an appointment.