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Volunteer Application
This application is to be completed by all applicants for any position which includes the following: anyone working with women and children (ages 0-18); anyone transporting women and children (ages 0-18).

This form is to be used to help Hannah House provide a safe and secure environment for those women and children who participate in our programs and use our facilities.

Application Process
Step One
Complete the form to the right by filling in all applicable fields.

Step Two
Attend a 30 minute personal interview with a Volunteer Coordinator.

Step Three
Attend a 3 - 4 hour orientation and training session to learn more about the mission and vision of the ministry.

Step Four
Participate in 3 - 4 sessions of volunteer shadowing in your area of interest.

Your Name: Date of Birth: Marital Status:
/ /
Current Address:
Street City State Zip
e-mail: Home Phone: Cell Phone:
( ) - ( ) -
Employment Information:
Current Employer Length of Employment (years)
Name of Supervisor Work Phone
( ) -
Is it O.k. to call you at work?
Previous Employers (within last five years) Start Date End Date
/ / - / /
/ / - / /
/ / - / /
/ / - / /
Educational Background:
Name Graduate Year Course of Study
High School
College
Other
Let Us Get to Know You:
What church do you attend?
How long have you attended (years)?
Do you regularly attend Sunday services? Do you attend midweek?
Have you personally accepted Jesus Christ as your Lord and Savior and are you committed to having the character of Jesus live through you?
Describe your spiritual journey to date:
Why have you chosen to volunteer to work with women and children at Hannah House?
Please indicate the type of work you prefer:
Date you can begin? / / Minimum length of commitment:
Church History and Prior Experience Working with Women and Children
List all churches you have attended regularly during the past 5 years:
Name City State
List all previous church work involving women and children:
Name City State
Type of work Start Date End Date
/ / - / /
Name City State
Type of work Start Date End Date
/ / - / /
Name City State
Type of work Start Date End Date
/ / - / /
List all previous non-church work involving women and children:
Name City State
Type of work Start Date End Date
/ / - / /
Name City State
Type of work Start Date End Date
/ / - / /
Name City State
Type of work Start Date End Date
/ / - / /
List any gifts, callings, training, education, or other factors that have prepared you for working with women and children:
Explain how you feel your gifts can be used at Hannah House:
Personal References
Name (Relative): Relationship:
Street City State Zip
e-mail: Phone:
( ) -
Name (Employer/Former Employer): Dates of Employment:
/ / - / /
Street City State Zip
e-mail: Phone:
( ) -
Name (Non-Relative): Relationship:
Street City State Zip
e-mail: Phone:
( ) -
Name (Staff Member/Pastor of former church): Dates of Attendance:
/ / - / /
Street City State Zip
e-mail: Phone:
( ) -
Please make sure all appropriate fields are completed before submitting your application.

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