Volunteer Application

Home
About Us
Events
- Baby Bottle Blessings
Volunteer
- Volunteer Application
- Volunteer Training
Donate
- Financial Donations >
  - Special Project Donations
- Most Needed Items
Contact Us
Connect

scroll down for our volunteer application

Online Application

* Indicates required field

Name *

First

Last

Address *

Include city, state, and zip

Phone Number (cell) *

Phone Number (Home) *

Email *

Date of Birth *

without year (ex. 08/03)

Are you 21 years of age or older? *

Yes No

Martial Status *

Number of Children *

if applicable

Name of Spouse *

Age(s) *

Of children

Educational Background *

Occupation *

Place of Employment *

Have you ever been convicted of a crime? *

Yes No

List any previous volenteer experience *

May we contact previous volunteer agencies? *

Yes No

Do you consider yourself a Christian? *

Yes No

If Yes, explain *

Please provide the following information about your church:

Church Name: *

Church Phone Number *

Senior Pastor's Name *

Church Address *

Church Zip Code *

How long have you been involved at the church? *

How did you hear about Heartbeat of Fremont? *

Please explain why you have an interest in this ministry? *

Do you have any experience in the following areas? Unplanned pregnancy, adoption, abortion or counseling - If yes, please explain: *

Do you have any concerns in dealing with these issues? *

Are there areas about our center in which you might feel uncomfortable? *

Have you ever personally known an unwed mother? *

How do you feel about abortion as a solution for an unplanned pregnancy? *

How do you feel about adoption as a solution for an unplanned pregnancy? *

How do you feel about single parenting as a solution for an unplanned pregnancy? *

How do you feel about abortion in cases of rape or incest? *

Do you have any strength that you wish to share with us? *

Do you consider yourself *

When are you available to volunteer? *

e.g., day of the week, daytime, or evening

Listed below are various volunteer opportunities. Please circle any areas which you would prefer to serve: *

Working with Clients Office Receptionist Clerical/office Help Laundry/Sewing Office Cleaning Fund-Raising Events Public Speaking Center Committees Church/Group Liaison Bridges (earn while you learn program) all of the above other

other: *

Would you like to come in on a regular schedule, or be contacted as needed? *

How do you feel about the use of birth control (pills, devices, and condoms) by unmarried girls/women? *

How do you feel about the teaching of abstinence to unmarried men and women? *

Please list two references other than your pastor or family members that we may contact: *

Thank you so much for completing this application. Please return this to our office and we will contact
you to set up an interview. God is at work at Heartbeat Hope Medical and we look forward to sharing His
joy with you.

Heartbeat Hope Medical
1243 Napoleon St
Fremont, OH 43420
419-334-9079

Submit

Volunteer Application

volunteer_application.doc
File Size:	34 kb
File Type:	doc

Download File

Powered by

Create your own unique website with customizable templates.

Home
About Us
Events
- Baby Bottle Blessings
Volunteer
- Volunteer Application
- Volunteer Training
Donate
- Financial Donations >
  - Special Project Donations
- Most Needed Items
Contact Us
Connect