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Date of Application:
Address, City, State, Zip:
If under 18, please list current age:
Areas of Interest (check any areas in which you are interested)
Why do you want to volunteer at Pregnancy Resource Center of SW Florida?
Are you actively seeking to adopt?
Tell me your view on abortion.
Have you ever been part of an abortion decision? Tell me about that.
Under what circumstances would you consider abortion an alternative for a woman with an unplanned pregnancy?
if you answered 'other' above, please explain:
How would you rate yourself in the following areas?
A. Knowledge of abortion methods
B. Knowledge of current laws concerning abortion
C. Biblical knowledge regarding abortion
Who is God? Who is Jesus Christ? What is the basis of your salvation?
Please list any other volunteer experiences you have had.
Please briefly describe your work history.
Please tell me where you attend church and what your level of involvement is.
Please list names and contact information for two persons of reference - 1 Professional & 1 Spiritual (who are not relatives)
How did you hear about Pregnancy Resource Center of SW Florida?
Friend, Church, Internet, Etc.
Applicant's Certification and Agreement
Please read and sign the document below.
I certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge, and I authorize Pregnancy Resource Center of Southwest Florida to verify their accuracy and to obtain reference information concerning my character and capabilities.
I release Pregnancy Resource Center of Southwest Florida 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 Resource Center 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 center, I agree to fully adhere to its policies, procedures, and rules, including those rules relating to maintaining patient confidentiality.
I recognize that, as a volunteer, I will serve in a different role than employees of the center, 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.
I further certify that I have read and that I am in full agreement with the Pregnancy Resource Center's Statement of Faith, Statement of Principles and Commitment to Sexual Integrity.
What is 79 minus five?
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