Beginnings Care For Life Center, 213 Marshall St, Coldwater, MI 49036 517-278-3355
had sex? have questions? pregnant? need help?
had sex? have questions? pregnant? need help?
YOU ARE NOT ALONE..............WE ARE HERE FOR YOU!
Print out (2 pages), fill in and mail to:
Beginnings Care For Life Center,
213 Marshall Road
Coldwater, MI 49036
Beginnings Care For Life Center VOLUNTEER APPLICATION~
NAME______________________________________________Phone (Day)________________(Eve)________________
Address__________________________________________________City, State, Zip_____________________________
E-mail_______________________________________Marital Status (circle one) S M W D Date of Birth_____________
Have you ever been arrested or convicted of criminal activity Y or N______If Yes, please explain____________________
______________________________________________________________________________________ ***************
All applicants selected for volunteer work at Beginnings will have a criminal record check performed.
***************
TRAINING/GIFTS
1. What is your educational background?_____________________________________________________________________
2. List any special training, biblical studies and/or educational experience:______________________________
_____________________________________________________________________________________
3. Place of Employment (name/address)_____________________________________________________________________________________
Position:__________________________________________________________Phone:_______________
Responsibilities:_________________________________________________________________________
______________________________________________________________________________________
*************
INTERESTS/HOBBIES
1. What do you like to do in your spare time?__________________________________________________
What special abilities and talents do you have?
_____________________________________________________________________________________
***************
GENERAL CONFIDENTIAL INFORMATION
1. What is your reason for getting involved with Beginnings?_______________________________________________________
______________________________________________________________________________________2. With what other ministries/organizations have you been involved?
______________________________________________________________________________________
3. How does your spouse/family feel about you volunteering at Beginnings______________________________
______________________________________________________________________________________
4. Please describe your knowledge of abortion risks and laws
_____Excellent_____Good_____Fair_____Poor_____Other~Please explain:
______________________________________________________________________________________
5. Under what circumstances, if any, would you consider abortion an acceptable alternative for a women?
____Never an alternative ____Life of the mother _____Rape/Incest ____ Extreme Psychological Stress
____Other
Please explain:_________________________________________________________________________________
6. How do you feel about a single woman parenting her baby?______________________________________________________________________________________
7. How do you feel about a woman placing her baby for adoption?______________________________________________________________________________________
8. Are you currently seeking to adopt a child?___________________________________________________
9. When do you feel sexual intercourse is permissible?______________________________________________________________________________________
10. What are your feelings regarding birth control and teeangers or adults who are single and sexually active?_
______________________________________________________________________________________
***************
CHRISTIAN WALK
Do you consider yourself a Christian?__________________If yes, please explain what it means to be a Christian:______________
____________________________________________________________________________________________________
How long have you been a Christian?____________What church do you attend?_______________________________________
For How Long?____________Do you have a daily devotional time?________________________________________________
***************
REFERENCES
Please list the names of your Pastor and two other people we may contact as references:
NAME__________________________ADDRESS____________________________________PHONE_________________
NAME___________________________ADDRESS___________________________________PHONE_________________
NAME___________________________ADDRESS___________________________________PHONE_________________
If you are selected as a volunteer, what time(s) would be best for you?
_____Weekdays mornings_____Afternoons_____Evenings_____Saturday mornings
How many hours per month would you like to work?_________________Which of the following areas would you like to work in?
_____Support Staff(claning, mailings) _____Peer-counseling (one-on-one with client) _____
Clothing Room_____Receptionist_____Building Maintenance_____Board Membership_____Fundraising_____
Church Liason_____Data Entry_____Community Outreach_____Post-Abortion Ministry_____
Male Mentor_____Other:________________________
****************
I promise that the above statements are true and complete.
Signature:___________________________________________________Date:________________________
Interview Date:______________________Date of Criminal Record:_________________
Comments:______________________________________________________________________________
Reference Checks:________________________________________________________________________________
Position/Hours:___________________________________________________________________________
NAME______________________________________________Phone (Day)________________(Eve)________________
Address__________________________________________________City, State, Zip_____________________________
E-mail_______________________________________Marital Status (circle one) S M W D Date of Birth_____________
Have you ever been arrested or convicted of criminal activity Y or N______If Yes, please explain____________________
______________________________________________________________________________________ ***************
All applicants selected for volunteer work at Beginnings will have a criminal record check performed.
***************
TRAINING/GIFTS
1. What is your educational background?_____________________________________________________________________
2. List any special training, biblical studies and/or educational experience:______________________________
_____________________________________________________________________________________
3. Place of Employment (name/address)_____________________________________________________________________________________
Position:__________________________________________________________Phone:_______________
Responsibilities:_________________________________________________________________________
______________________________________________________________________________________
*************
INTERESTS/HOBBIES
1. What do you like to do in your spare time?__________________________________________________
What special abilities and talents do you have?
_____________________________________________________________________________________
***************
GENERAL CONFIDENTIAL INFORMATION
1. What is your reason for getting involved with Beginnings?_______________________________________________________
______________________________________________________________________________________2. With what other ministries/organizations have you been involved?
______________________________________________________________________________________
3. How does your spouse/family feel about you volunteering at Beginnings______________________________
______________________________________________________________________________________
4. Please describe your knowledge of abortion risks and laws
_____Excellent_____Good_____Fair_____Poor_____Other~Please explain:
______________________________________________________________________________________
5. Under what circumstances, if any, would you consider abortion an acceptable alternative for a women?
____Never an alternative ____Life of the mother _____Rape/Incest ____ Extreme Psychological Stress
____Other
Please explain:_________________________________________________________________________________
6. How do you feel about a single woman parenting her baby?______________________________________________________________________________________
7. How do you feel about a woman placing her baby for adoption?______________________________________________________________________________________
8. Are you currently seeking to adopt a child?___________________________________________________
9. When do you feel sexual intercourse is permissible?______________________________________________________________________________________
10. What are your feelings regarding birth control and teeangers or adults who are single and sexually active?_
______________________________________________________________________________________
***************
CHRISTIAN WALK
Do you consider yourself a Christian?__________________If yes, please explain what it means to be a Christian:______________
____________________________________________________________________________________________________
How long have you been a Christian?____________What church do you attend?_______________________________________
For How Long?____________Do you have a daily devotional time?________________________________________________
***************
REFERENCES
Please list the names of your Pastor and two other people we may contact as references:
NAME__________________________ADDRESS____________________________________PHONE_________________
NAME___________________________ADDRESS___________________________________PHONE_________________
NAME___________________________ADDRESS___________________________________PHONE_________________
If you are selected as a volunteer, what time(s) would be best for you?
_____Weekdays mornings_____Afternoons_____Evenings_____Saturday mornings
How many hours per month would you like to work?_________________Which of the following areas would you like to work in?
_____Support Staff(claning, mailings) _____Peer-counseling (one-on-one with client) _____
Clothing Room_____Receptionist_____Building Maintenance_____Board Membership_____Fundraising_____
Church Liason_____Data Entry_____Community Outreach_____Post-Abortion Ministry_____
Male Mentor_____Other:________________________
****************
I promise that the above statements are true and complete.
Signature:___________________________________________________Date:________________________
Interview Date:______________________Date of Criminal Record:_________________
Comments:______________________________________________________________________________
Reference Checks:________________________________________________________________________________
Position/Hours:___________________________________________________________________________