Volunteer Application

Please write N/A or none if it is not applicable to you.

Date(Required)

Name(Required)

First Last

Address(Required)

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

Phone Number(Required)

Email(Required)

Volunteers must be at least 18 years old. I am at least 18 years old(Required)

Yes

I can commit to a weekly volunteer time at A Hope Center(Required)

Yes

Which day would work best(Required)

Monday

Tuesday

Wednesday

Thursday

Thursday Evening

Amount of weekly commitment(Required)

4 Hours

More than 4 Hours

Education

High School: Number of years completed(Required)

Diploma

Yes

GED

Yes

School

College and Vocational School: Number of Years Completed

School (s)

Degrees Earned (Date)

Describe other Training or Degrees

Previous Volunteer

Organization

Date of Service

From

Address

Organization

Date of Service

From

Address

Employment History (most recent employment)

Employer(Required)

Date of Employment

From(Required)

To(Required)

Address(Required)

Personal History

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

Yes

If yes, explain:(Required)

What is your reason for seeking to volunteer at A Hope Center?(Required)

Since A Hope Center is a faith-based ministry. Please write a brief statement about how your faith would affect your volunteer work at this center.(Required)

The heart of our ministry is pro-life. Please explain how being pro-life that aligns with your faith.(Required)

What special skills, talents, or gifts would you bring to this ministry?(Required)

Briefly explain your understanding of the Biblical principles on sexual integrity.(Required)

Briefly explain your understanding of Biblical principles on abortion.(Required)

How do you rate yourself in the following areas?

Knowledge of abortion methods(Required)

Excellent

Good

Fair

Poor

Knowledge of laws concerning abortion(Required)

Excellent

Good

Fair

Poor

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

Yes

At which AHC location are you able to serve?(Required)

Fort Wayne, Hobson Road

Fort Wayne, South Clinton Street

Columbia City, Main Street

Fort Wayne, Medical Mobile Unit

References

Please provide information about the church you currently attend:

Church Name(Required)

Pastor’s Name(Required)

Address(Required)

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

Positions you have served in the church(Required)

Limited Background Check Authorization

This form authorizes A Hope Center to obtain limited criminal background information and must be completed by all volunteers. The results of the criminal background check are confidential

Name(Required)

First Last

Birth of Date(Required)

State of Birth(Required)

Race(Required)

Gender(Required)

Signature of Applicant(Required)

Date(Required)

Areas of Interest (Please check all that apply)

Advocate: Direct client contact

Earn While You Learn (EWYL) Facilitator – assists clients with EWYL lessons and material assistance, high client interaction with mentoring opportunities. This program has incentives.

Volunteer Advocate – peer-counseling with clients who have pregnancy testing, which can range from choosing life, considering abortion, or are abortion-minded. Assisting clients with EWYL

Nurse Volunteer – nurses will be required to train due to AHC’s limited medical status and opportunity to give information on abortion and STI’s.

Fatherhood Program Leader – Introducing men to the attributes of a stable healthy father. EWYL videos may be included. Also, promoting spiritual growth, self-control, and faithfulness. Encouraging men to come to at least 6 sessions to qualify for incentives.

Client Support Services: Limited client contact

Class teacher or helper – provide information and guidance based on the topic of training.

Church Liaison

Update your church on A Hope Center's ministry and encourage the church to participate in fundraisers, baby showers, volunteers, etc.

*** Please note: Should you wish to own your training manual, there will be a $35 fee***

STATEMENT OF PRINCIPLE

Effective May 2004

1. The pregnancy center is an outreach ministry of Jesus Christ through His church. Therefore, the pregnancy center, embodied in its volunteers, is committed to presenting the gospel of our Lord to women with crisis pregnancies —both in word and in deed. Commensurate with this purpose, those who labor as pregnancy center board members, directors, and volunteers are expected to know Christ as their Savior and Lord.

2. The pregnancy center is committed to providing its clients with accurate and complete information about both prenatal development and abortion.

3. The pregnancy center is committed to adopting and enforcing internal procedures to assure that abortion education is performed in a caring and combrpassionate manner with due respect for the emotional sensibilities of each client. Prior to usage by the center, client materials containing descriptions or depictions of abortion will be reviewed by a qualified medical professional (ex: physician, nurse) and determined to be medically accurate. Materials with graphic depictions of abortion or its results are not content appropriate when the primary effect of such materials is to shock rather than to educate. When using approved abortion education materials with clients, center personnel will always give specific warnings and obtain written client permission before showing any videos, brochures, or diagrams that contain any visual depictions of abortion or its results. No client will ever be asked, pressured, or coerced to view abortion education materials which she or he has indicated a desire not to see.

4. The pregnancy center is committed to integrity in dealing with clients, earning their trust, and providing promised information and services. The pregnancy center denounces any form of deception in its corporate advertising or individual conversations with its clients.

5. The pregnancy center is committed to assisting women carry to term by providing emotional support and practical assistance. Through the provision of God’s people and the community at large, women may face the future with hope and plan constructively for themselves and their babies.

6. The pregnancy center does not discriminate in providing services because of race, creed, color, national origin, age, or marital status of its clients.

7. The pregnancy center does not recommend, provide, or refer for abortion or abortifacients.

8. The pregnancy center offers assistance free of charge at all times.

9. The pregnancy center is committed to creating awareness within the local community of the needs of pregnant women, and of the fact that abortion only compounds human need rather than resolving it.

10. The pregnancy center does not recommend, provide, or refer single women for contraceptives. (Married women seeking contraceptive information should be urged to seek counsel, along with their husbands, from their pastor and/or physician.)

11. The pregnancy center recognizes the validity of adoption as an alternative to abortion but is not biased toward adoption when compared to the other life-saving alternatives. Pregnancy centers interacting with independent adoption agencies shall assure that referrals are made in a manner that fully protects the interests of clients and avoids any conflicts of interest. Adoption agencies may only be established under the auspices of centers if they meet strict standards to assure that pregnancy clients shall be served without any conflicts of interest.

12. The pregnancy center otherwise upholds all the principles and requirements set forth in our

STATEMENT OF FAITH

1. We believe the Bible to be the inspired, the only infallible, authoritative Word of God.

2. We believe that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit.

3. We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.

4. We believe that for the salvation of lost and sinful man, regeneration by the Holy Spirit is absolutely essential, and that this salvation is received through faith in Jesus Christ as Savior and Lord and not as a result of good works.

5. We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life and to perform good works.

6. We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation.

7. We believe in the spiritual unity of believers in our Lord Jesus Christ.

Adapted from the National Association of Evangelical’s statement of faith.

CARE NET 44180 Riverside Pkwy, Suite 200, Lansdowne, VA 20176

Applicant’s Certification and Agreement

I certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge, and I authorize A Hope Center to verify their accuracy and to obtain reference information concerning my character and capabilities. I release A Hope Center and any person or entity providing such reference information from all liability relating to the provision of such information or relating to any decisions made based upon such information. If I become a volunteer at A Hope Center, I agree to fully adhere to its policies, including those rules relating to maintaining client confidentiality. I recognize that, as a volunteer, I will serve in a different role than the employees of A Hope Center, and I am not seeking nor expecting to receive any compensation or other benefits in return for any volunteer services which I may provide for this ministry.

I certify that I have read and that I am in agreement with A Hope Center’s Statement of Principle.

I certify that I have read and that I agree with A Hope Center’s Statement of Faith.

Signature of Applicant(Required)

Date(Required)

Volunteer Application