Volunteer Application

Volunteer Application

Thank you for your interest in volunteering at Lois' Lodge.

* Required fields
Name *
E-mail Address *
Address (please include zip code) *
Zip code *
Daytime Phone Number
Alternate Phone Number
Tell us about your professional skills
Tell us about your hobbies
Tell us about your previous volunteer experience
What days and times are you available? *
Which volunteer opportunies are you interested in? *
Why are you interested in volunteering at Lois' Lodge?
What are your feelings concerning abortion? *
What are your feelings regarding adoption? *
Are you an active member of a local church? If so, where? *
According to your own understanding, who is Jesus Christ? *
What do you beleive the signifigance of Jesus Christ's death is? *
Tell us about your own faith journey - your testimony. *
Please list 3 References - Including Phone (other than relatives) and Email *
Date of Birth (MM/DD/YYYY) *
Social Security Number *
Additional comments
	By Checking this box I certify that all information I have provided is true, complete and accurate. I understand that if any information provided by the me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to 1) cancel any further consideration for this application. 2) immediately discharge me from the service of Lois' Lodge when it is discovered. *
	By checking this box I understand that the ministry will be soliciting information regarding reference and bacground checks from the references which I have supplied. This information will be used to assist the ministry in assessing my abilities and/or meeting state requirements as a volunteer. *

I have read and agree to the Privacy Policy *

Spam prevention

Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.

Enter code above:

All information provided by you will be held in the strictest of confidence.

You can join in the work of Lois' Lodge through a one time gift
or by providing ongoing monthly support.: http://www.loislodge.org/donate.html

Debbie Durrell, Executive Director

Executive Office * 2400 Park Rd, Suite B * Charlotte, NC 28203

Maternity Home * 1301 Hemlock Street * Charlotte, NC 28203

Mailing Address * PO Box 35188 * Charlotte, NC 28235

(704) 332-4003