Volunteer Advocate Application

If you are interested in meeting with and counseling clients you will need to complete and submit the long application below.

LongApp

Long application for volunteer advocates

"*" indicates required fields

YOUR CONTACT INFORMATION

Name*
Birth Date*
Address*
Date Available
Which shift can you work?
Have you previously worked or applied at a pregnancy help center?*
Marital Status:*
Spouse Name

EDUCATION

Last Attended*

CHRISTIAN COMMITMENT

Because Thrive is an interdenominational Christian organization, would you be willing to work and cooperte with other Christians whose doctrines may differ from your own?*
Have you trusted Jesus Christ as Lord and Savior?*

EMPLOYMENT / VOLUNTEER RECORD

List below three former employers and any organizations you have volunteered for during the previous five years beginning with the most recent or present. Former employers/organizations will be contacted if you and THRIVE develop a strong mutual interest.
MM slash DD slash YYYY
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Address
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Address
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Name
Address

PERSONAL

Have you ever had the opportunity to counsel a woman experiencing an unplanned pregnancy?*
Have you personally experienced an unplanned pregnancy?*
If you are single, do you practice abstinence?

PERSONAL REFERENCES

Please list three individuals (not related to you) who have knowledge of your personal abilities and character.
Name 1
Address
Name 2
Address
Name 3
Address

CHURCH REFERENCE

Church Address*
Are you a member of this church?*

CRIMINAL RECORD

Have you been convicted of any criminal offense in the last seven years?*
Consent*