Note: Please complete all at once to avoid timed error submission problems
Today's Date
MM
DD
YYYY
Name
*
First Name
Last Name
Date of Birth
MM
DD
YYYY
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Email Address
*
Occupation
Employer
Marital Status
Married
Single
Widowed
Divorced
Separated
Spouse's Name
Number of Children & Ages of Children
Are there any medical issues/concerns you would like to share?
Emergency Contact #1: Name
First Name
Last Name
Relationship:
Emergency Contact #1 Phone:
(###)
###
####
Completed
Type of Degree (if applicable)
Special Qualifications (advanced degree, counseling experience etc...)
Field of Working Experience
Previous Volunteer Experience
In your opinion, how does a person become a Christian? (Briefly explain)
When did you become a Christian
Name of church of which you are a member:
Have you ever received personal evangelism training?
If yes, when, where, and what type of program?
Have you had other Christian experiences/training that would be of value to you in helping people with problem pregnancies?
What is your view on homosexual &/or transgender relationships?
Please read Huntsville Pregnancy Resource Center's "Statement of Faith" (listed below)
Huntsville Pregnancy Resource Center is a Christian ministry which affirms the tenants of the Christian faith: God – we believe in the God of the Bible - Father, Son, and Holy Spirit - who created all things and is sovereign over His creation. God’s Word – we believe in the Bible as the inerrant, infallible Word of God; therefore, it is our authoritative rule of faith and practice. Mankind – we believe that God created all mankind in His image; therefore, all human beings are deserving of life and dignity. Unborn children – we believe in the sanctity of all human life and that life begins at conception. Sin – we believe that man sinned against God, thereby alienating all mankind from God. Furthermore, sin’s curse has negatively impacted all aspects of our lives (i.e. physical, mental, emotional, relational, spiritual, etc.). Salvation – Jesus is God the Son and the only means of reconciliation to God. He lived a perfect life and died on the cross as the atoning sacrifice for sin. When we trust in His perfect life and atoning death, our sins are forgiven and we are declared right by God. Sanctification– we believe that the Holy Spirit indwells all believers and transforms their hearts and lives, thereby enabling them to increasingly turn from sin and live godly lives. Sanctification, or the process of becoming holy and Christ-like, is an ongoing process which will only be complete in Heaven. HPRC is a non-denominational ministry therefore we focus on the common elements of the Christian Faith.
Are you in agreement with these beliefs and willing to uphold them?
Why would you like to be a HPRC volunteer/employee?
Due to the nature of our work, this is a 4 hour/week commitment. Days/times vary. Do you agree to this?
Yes
No
What area of ministry are you interested in volunteering?
Pregnancy Test Center
Ultrasound
Parenting
Fatherhood
Are you willing to attend HPRC training sessions for general orientation?
How does your family/spouse feel about this kind of work?
Do you believe there is a reason or circumstance a woman should have an abortion?
Yes
No
If yes, please explain:
What do you feel are your strong areas/points?
Do you believe that you are capable of effectively working with men/women in crisis?
Date of Application
MM
DD
YYYY
Signature of Applicant
First Name
Last Name
