Volunteer Application Volunteer Application Name* First Last Date* Gender* Female Male Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Cell PhoneHome PhoneDate of Birth* Place of Employment*Spouse's NameNames/Ages of ChildrenHow did you learn about Life Network?*(check all that apply) Radio A volunteer Website Friend Church Other If other, please listChurch Name*Pastor or Ministry Leader NameChurch Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Why do you want to be a volunteer for Life Network?*Do you consider yourself to be a Christian?*YesNoUndecidedIf you checked Undecided, please explainWhat does being a Christian mean to you?*Have you ever experienced an unplanned pregnancy?*YesNoIf yes, please explain*How do you feel about abortion as a solution to an unplanned pregnancy?*Have you ever experienced an abortion personally?*YesNoIf yes, please explain.Have you ever been involved with someone (friend, relative, etc.) who has experienced an abortion?*YesNoIf yes, please explain.How do you feel about adoption as an alternative for a person in an unplanned pregnancy?*How do you feel about an unmarried woman/unmarried couple parenting a baby?*How do you feel about single men and women using birth control?*Please list special skills and background experience*When are you available to volunteer (AM/PM, all day, day of week)?*In what area(s) of the ministry are you currently interested?*(check all that apply) Pregnancy Center LifeSteps Bridges of Hope EFL Men's Services Administration Other If other, please listHave you ever been accused or convicted of a felony?*YesNoIf yes, please explain and give details. Life Network is a sanctity of human life ministry that impacts and transforms people with the love of Christ. We achieve this by: Actively representing and presenting the gospel of Jesus Christ. Offering hope to anyone who has been or may be adversely impacted by an unplanned pregnancy. Providing positive alternative choices to abortion with the specific goal of preserving the lives of the unborn. Heightening awareness of the sacredness of human life through our prevention, intervention, restoration and education outreaches. Encouraging, equipping and partnering with the local body of Christ to promote sexual integrity, the value of human life and restoration of the family unit. Engaging the culture through inter-generational and ethnic diversity in our programs and services. Partnering with churches and other service organizations to positively influence the spiritual and moral needs of our community.Statement of Faith We believe the Bible to be the inspired, inerrant, the infallible, authoritative Word of God. We believe that there is one God, eternally existent in three persons: Father, Son and Holy Spirit. We believe in the deity of our Lord Jesus Christ, in His virgin birth, in his sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory. We believe that for the salvation of lost and sinful man, regeneration by the Holy Spirit is absolutely essential and that this salvation is received through faith in Jesus Christ as Savior and Lord and not as a result of good works. We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life and to perform good works. We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation. We believe in the spiritual unity of believers in our Lord Jesus Christ. --Adapted from the National Association of Evangelicals’ Statement of Faith--Type name to signify agreement with Mission and Statement of Faith*Confidentiality AgreementI, the undersigned, serving as a volunteer with Life Network, pledge myself to hold all information of all individuals and families having contact with Life Network in strictest confidence. I also pledge myself to continue to observe this confidentiality after I leave the volunteer services of Life Network for any reason whatsoever.Type name to accept confidentiality agreement*All information you furnish us in reference to your volunteer application will be held in the strictest confidence, unless otherwise required by law.