Application to Volunteer
This application is step one in the process to becoming a volunteer of the Pregnancy Center of Lapeer. Once completed, a staff member will call you to set up an interview and tour of the center,  after which you may be invited to attend an orientation day for new volunteers. Thank you for your interest in joining our volunteer family!
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Email *
First and Last Name *
Mailing Address *
Daytime Phone *
Email Address *
Are you over the age of 21? *
 Education *
Required
Employment History- Please list from most recent first. *
Volunteer Experience-Please list most recent first *
What interests you about our center? *
What is the reason you are seeking to volunteer? *
Required
What special skills, talents, gifts would you bring to the center. *
What would you consider areas of weakness for you? *
What is your availability? Please note 90% of the volunteer positions require availability during office hours. *
Required
What can you see yourself doing for us?                   *
Required
What is your religious affiliation? *
What church do you go? *
Do you consider yourself to be *
Required
Under what circumstances would you consider abortion acceptable? *
Required
How do you feel about Hormonal Birth Control? *
On a scale of 1-10 please rate your knowledge of the following *
1 Little Knowledge
2
3
4
5 Extensive knowledge
Abortion Procedures/Risks
Infant Adoption
Parenting Resources
Birth Control
Abstinence
Std's
Reference #1- Work Related (name/phone) *
Reference #2- Personal Friend (name/phone) *
Reference #3- Pastor/church leader (name/phone) *
Do you have any questions or concerns about our organization?
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 the Pregnancy Center to verify their accuracy and to obtain reference information concerning my character and capabilities.  I release the Pregnancy Center of Lapeer and any person or entity providing such reference information from any and all liability relating to the provision of such information or relating to any decisions made based upon such information.  I give permission to the Pregnancy Center of Lapeer to conduct a criminal background check to the extent that my volunteer duties may involve direct interaction with minors.  If I become a volunteer at the Pregnancy Center of Lapeer, I agree to fully adhere to its policies and rules, 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 the Pregnancy Center of Lapeer, 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.                                                                                 *
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