Volunteer - Mercy Ministries

Before filling out this form, please read our Statement of Principle and Statement of Faith. You will be asked to agree to these statements at the end of the application process. Also be sure you are familiar with our Volunteer Requirements.

Volunteer Application

"*" indicates required fields

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

This is my*

Mobile

Home

Best time to call*

Morning

Afternoon

Evening

Anytime

Email*

Current Occupation*

Previous Occupations

Current Volunteer Involvement

Previous Volunteer Experience

Do you have any physical limitations and/or health issues/allergies?*

Yes (specify below)

Physical Limitations/Health Issues/Allergies

Emergency Contact*

Relationship*

Contact Phone*

In what areas are you interested in volunteering?*

Assist with Events

Board of Directors

Building Maintenance

Committee Member

General Office

Peer Advocate

Teaching at 921 Center (Cooking, Youth, etc.)

Other (specify below)

Specify Other Volunteer Area

What gifts/talents or training do you have?*

What are your strengths and weaknesses?*

How do you handle conflict?*

How did you learn about the ministry of Mercy CCPC?*

Why do you want to become a volunteer at or with Mercy CCPC?*

How does your spouse / family feel about your involvement with Mercy CCPC?*

PERSONAL ABORTION KNOWLEDGE

In this section, please make a general evaluation of your knowledge in the following areas:

Knowledge of how abortions are performed / methods used to perform abortions.*

Excellent

Good

Fair

Poor

Knowledge of the existing laws regulating abortion.*

Excellent

Good

Fair

Poor

Knowledge of what the Bible teaches about abortion (directly or indirectly).*

Excellent

Good

Fair

Poor

Do you know someone who has had an abortion?*

Yes

Explanation

Have you talked with someone who was considering an abortion?*

Yes

Explanation

Under what circumstances would you consider abortion as an alternative?*

Never an option

Extreme psychological stress

Rape / Incest

Birth Defect

Explanation

How do you feel about a single woman or man parenting their baby?*

How do you feel about adoption?*

Are you currently seeking to adopt a child?*

Yes

Is anyone you know seeking to adopt a child (family member or friend)*

Yes

Do you have an adopted child/ren?*

Yes

When do you feel sexual intercourse is morally permissible?*

What are your feelings regarding birth control and teenagers or adults who are single and sexually active?*

Please list any books, films or other material that you have read or viewed that relates to abortion, unplanned pregnancy, alternatives to abortion, pregnancy, prenatal care/ development, and/or parenting:

CHRISTIAN WALK

Have you come to the place in your spiritual life, that if you were to die today you would go to heaven?*

Yes

Let’s suppose that you were to die tonight and you have to stand before God and He were to ask you, “Why should I let you into heaven?” What would you say?*

How long have you been a Christian?*

Please give a brief statement (testimony) about how you came to receive Christ as your Savior?*

How has your life changed since that time?*

CHURCH INFORMATION & PASTORAL REFERENCE

A reference will be requested and required from your Pastor

Church Name*

Church Phone #*

Mailing Address (Street, City, State & Zip)*

Denomination*

Pastor's Name*

Pastor's Email (be sure this is a current email address!)*

Are you currently involved in a Bible study?*

Yes

Are you a church member?*

Yes

How long have you been attending?*

Are you currently involved in ministry in your church?*

Yes

Please briefly explain your involvement in ministry:*

Do you have a devotional time?*

Yes

Please briefly describe your devotional time:*

Will you have a team of individuals praying for and with you as you serve at Mercy?*

Yes

Please describe your prayer team briefly:*

As a volunteer at Mercy CCPC I am willing to serve as stated below (please check the appropriate space – weekly or monthly:*

Weekly 2-4 hours

Weekly 4-6 hours

Weekly 6-8 hours

Monthly 2-4 hours

Monthly 4-6 hours

Monthly 6-8 hours

Other

Other amount

PERSONAL REFERENCES

Please list the names, COMPLETE mailing addresses and phone number of two people (OTHER THANFAMILY MEMBERS & YOUR PASTOR) whom we may contact for references.

Reference #1 : Name*

Reference #1 : Phone*

Reference #1 : Email (be sure this is their current address!)*

Reference #1 : Full Mailing Address*

Reference #2 : Name*

Reference #2 : Phone*

Reference #2 : Email (be sure this is their current address!)*

Reference #2 : Full Mailing Address*

View Statement of Principle and Statement of Faith in a new window (you will not loose your progress)

Are you in total agreement with Mercy's Statement of Faith and Statement of Principle?*

Yes

Please type your name and date to signify that you have read and are in total agreement with these statements*

What questions do you have about these two documents? (If any)

This field is for validation purposes and should be left unchanged.

"I didn’t have a community in Reading until I came to Mercy. Mercy is my community."

"I wouldn’t be where I am today if it wasn’t for Mercy’s support and loving staff."

"Mercy has blessed me and my children with clothing, diapers/wipes, and supplies. Mercy has provided me with the opportunity to do a Bible study and get closer to God."

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