The Sparrow s Nest Maternity Home - Volunteer Application
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1 The Sparrow s Nest Maternity Home - Volunteer Application General Information PLEASE PRINT This application is to be completed by all applicants for any position at the Sparrow s Nest. We want to provide a safe and secure environment for those who participate in our work and use our facilities. Please take the time to fill out the application carefully. Name (last, first, M.I.): Street address: City ST ZIP: address: Date of birth: Month: Day: Year: Marital status: Single Married Social media handles Facebook: Twitter: Instagram: Linked Employment Work status: Occupation: Employer: Unemployed Student Full time Part time Retired Homemaker Other: Availability During which hours are you available for volunteer assignments? Weekday mornings Weekend mornings Specific days/times: Weekday afternoons Weekend afternoons Weekday evenings Weekend evenings Interests In which areas you are interested in volunteering? For descriptions of some of these areas, please visit Finance committee Residential services Fundraising Celebration planning Communications Connections Marketing Prayer Help with a specific event Other: The Sparrow s Nest, 6209 Mid Rivers Mall Dr. #119, St. Peters, MO of 7
2 Previous Volunteer Experience Include work with social services (include ages and type of work): Special Skills or Qualifications List any skills, natural talents, or special abilities. Include skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. Why do you want to serve at the Sparrow s Nest? The Sparrow s Nest, 6209 Mid Rivers Mall Dr. #119, St. Peters, MO of 7
3 Church History Are you connected with a local church? Yes No If you checked Yes, please answer the remaining questions in this section. Church name: Street address: City/State: / Contact: Phone: How long have you attended this church? Have you ever served in ministries at your church? Yes No List any past or current ministry experiences. If applicable, please include activity, serving role, length of involvement, reason for ending, and church name/contact. Are you currently involved in a small group? Yes No If so, with which church is it affiliated? The Sparrow s Nest, 6209 Mid Rivers Mall Dr. #119, St. Peters, MO of 7
4 References Please complete at least 3 out of the 4 references below completely. Choose people that have known you for at least 1 year and have a strong knowledge of your character and qualifications for working in The Sparrow s Nest. Personal Reference (not a relative) Personal Reference (not a relative) Church Reference (ministry leader, small group leader, staff, or elder) Employment Reference (employer, supervisor, or co-worker) Applicant s Statement The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in the entirety of this application to give the Executive Director and/or the Counseling Staff of The Sparrow s Nest any information, including opinions they may have regarding my character and fitness for working with minors. I release all such references from any liability for furnishing such evaluations to the Executive Director, Counseling Staff, or any other Staff of The Sparrow s Nest provided they do so in good faith and without malice. I waive any right that I may have to inspect references provided on my behalf. Should my application be accepted, I agree to be bound by the policies of The Sparrow s Nest, and will refrain from any activities that may conflict with their policies. Applicant s signature: Date: Submittal Instructions To submit this application, do one of the following: 1) Fill it out on your computer, save it to a file, and the file to Alyssa@TheSparrowsNestSTL.org. 2) Print the application, fill it out by hand, and mail it to the address at the bottom of this page. 3) Print the application, fill it out by hand, scan the completed application, and the scanned file(s) to Alyssa@TheSparrowsNestSTL.org. The Sparrow s Nest, 6209 Mid Rivers Mall Dr. #119, St. Peters, MO of 7
5 The remainder of this form only needs to be filled out by volunteers interested in working one-on-one with our clients. Other volunteers can stop here. Spiritual History Are you a Christian? Yes No If you checked Yes, please answer the remaining questions in this section. Write a brief testimony about how and when you became a Christian. Include any significant events in your life that impacted you spiritually to make this decision. How would you describe your spiritual journey and relationship with God right now? What types of accountability do you currently have in your spiritual journey? Check here if you wish to speak to a counselor about your walk with God. The Sparrow s Nest, 6209 Mid Rivers Mall Dr. #119, St. Peters, MO of 7
6 Personal History What are your top two strengths and weaknesses? How would they impact your involvement as a volunteer? What Spiritual Gifts have you noticed God providing in you to accomplish His will? How do you see those gifts impacting your work as a volunteer? Are there special issues or concerns happening in your life right now that would have an impact on your commitment and involvement to the Sparrow s Nest? (e.g. relationships, other commitments, specific situations, etc.) What are some of your expectations of The Sparrow s Nest in supporting you as a volunteer? The Sparrow s Nest, 6209 Mid Rivers Mall Dr. #119, St. Peters, MO of 7
7 Legal and Lifestyle We believe it is our responsibility to seek a staff that is able to provide healthy, safe, and nurturing relationships. Please answer the following questions with that in mind. Any special concerns can be discussed directly with Carissa Figgins, the Executive Director, or any of our counseling staff. Are you using, or do you struggle with using, illegal drugs? Yes No Have you ever gone through treatment for alcohol or drug abuse? Yes No If yes, please explain: Have you ever been arrested for or convicted of a crime? Yes No If yes, please explain: Have you ever had sexual relations with any minor after you became an adult? Yes No Have you ever been convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor? Yes No If yes, please explain: Have you ever been a victim of any form of child abuse? Yes No If yes, would you like to speak to a counselor or shepherd? Yes No Applicant s Statement The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in the entirety of this application to give the Executive Director and/or the Counseling Staff of The Sparrow s Nest any information, including opinions they may have regarding my character and fitness for working with minors. I release all such references from any liability for furnishing such evaluations to the Executive Director, Counseling Staff, or any other Staff of The Sparrow s Nest provided they do so in good faith and without malice. I waive any right that I may have to inspect references provided on my behalf. Should my application be accepted, I agree to be bound by the policies of The Sparrow s Nest, and will refrain from any activities that may conflict with their policies. Applicant s signature: Date: Witness s signature: Date: Submittal Instructions To submit this application, do one of the following: 4) Fill it out on your computer, save it to a file, and the file to Alyssa@TheSparrowsNestSTL.org 5) Print the application, fill it out by hand, and mail it to the address at the bottom of this page. 6) Print the application, fill it out by hand, scan the completed application, and the scanned file(s) to Alyssa@TheSparrowsNestSTL.org Note: There is no need to sign the application until after it has been submitted and reviewed by The Sparrow s Nest. The Sparrow s Nest, 6209 Mid Rivers Mall Dr. #119, St. Peters, MO of 7
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