Get Involved

Prayerfully Seeking Support

 

New Volunteer Application

Contact Information

Name

First

Last

E-mail*

Phone:

Area

-

Phone Number

Preferred Method of Contact:

Phone

Email

Address

Street AddressStreet Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState Postal / Zip Code

Your Date of Birth:

Your Age:

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Areas of Interest

What areas are you interested in serving? (Please check all that apply)

House Parent

Social Media Support

Crafts/Projects

Maintenance/Repair

Field Trip/Outings

Life Skills Training

Job Skills Training

Teaching

*Administrative/Office Work

Prayer

Practical Needs

Praise and Worship

Fund Raising

Technical Support

Mentor

Committee Member

Public Relations

Childcare

Nutrition and Fitness

Other

*List subjects you can teach.

What days and times are you available?
(Enter the time next to the days.)

Monday:

Tuesday:

Wednesday:

Thursday::

Friday:

Saturday:

Sunday:

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Personal References

Please provide the names of 3 people you have known
at least 2 years. Please include one reference of a person
who attends your church. Please note that we need this
information since we will have children in our facility. It
is for their safety that this information is important.

1. Name:

First

Last

Ref1 Phone:

Area

-

Phone Number

Address:

Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStatePostal / Zip Code

2. Name:

First

Last

Ref2 Phone:

Area

-

Phone Number

Address:

Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStatePostal / Zip Code

3. Name:

First

Last

Ref3 Phone:

Area

-

Phone Number

Address: (1)

Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStatePostal / Zip Code

How did you hear about The Magdalene Home?

Select valueFriendFamilyEventRadioInternet

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Background

Have you ever been arrested or convicted of any crimes?

Yes

No

If yes, please explain in detail.

Please provide your DL # for the Criminal History Search. (List State and # i.e. TX 12345...)

Church Affiliation:

How long at this church?

Please tell us about your relationship with Jesus:

What are your religious beliefs?

What is one of your favorite scriptures and why:

SubmitReset

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We Can Make a Difference

We provide a safe and nurturing environment for pregnant mothers as they are trained and equipped to fulfill God's purpose in their life.

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