* Required fields
Name *
E-mail Address *
Address*
Zip code *
Daytime Phone Number *
Alternate Phone Number
List professional skills:
List hobbies/interests/skills:
Previous volunteer experience
Availability (days, times, etc.) *
Which volunteer opportunities
are you interested in?
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 believe the significance of Jesus Christ's death is? *
Tell us about your own faith journey - your testimony. *
Please list 3 References - other than family (Phone and Email)*
Date of Birth (MM/DD/YYYY) *
Social Security Number *
We will ask for this in approval process.
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 is found to be false, incomplete, or misrepresenting in any respect, that will be sufficient cause to cancel any further consideration of this application or immediately discharge me from service at Lois’ Lodge upon discovery.”
By checking this box I understand that the ministry will be soliciting information regarding reference and background 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. *

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