First Choice Volunteer Application

Thank you for your interest in volunteering at First Choice! Once you complete this application and submit it, a center director will contact you to continue the application process. This will include two days of classroom training, an interview, reference checks and a criminal background check. Please read the Volunteer Agreement and Dress Code on the Volunteer page of our website. Thanks again for your interest! We look forward to meeting you.

Contact Information

Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home *

- Area Code Phone Number

Cell

- Area Code Phone Number

Work

- Area Code Phone Number

E-mail *

The best place to reach me is:

Home Work Cell Email

Date of Birth *

- Month - Day Year

Are you over 21? *

Yes No

Social Security Number

Marital Status *

Full Name *

First Name Last Name

Phone Number *

- Area Code Phone Number

Relationship

What high school(s) did you attend?

How many years did you complete?

Did you receive your high school diploma or GED? *

Yes No

What college(s) did you attend?

How many years did you complete?

College Degree Earned

Did or are you attending Graduate School?

Yes No

If yes, what school(s)?

Degree Earned/Expected

Please list any training or certifications that you have received that would be an asset to First Choice?

Please list most recent employment.

Name of Employer

Start Date

- Month - Day Year

If currently employed here, mark end date as today's date.

End Date

- Month - Day Year

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number

Supervisor

First Name Last Name

Position

May we contact your supervisor for a reference?

Yes No

Name of Employer

Start Date

- Month - Day Year

If currently employed here, mark end date as today's date.

End Date

- Month - Day Year

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number

Supervisor

First Name Last Name

Position

May we contact your supervisor for a reference?

Yes No

Name of Organization

Start Date

- Month - Day Year

If currently volunteering here, mark end date as today's date.

End Date

- Month - Day Year

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number

Supervisor

First Name Last Name

Position

May we contact your supervisor for a reference?

Yes No

Name of Organization

Start Date

- Month - Day Year

If currently volunteering here, mark end date as today's date.

End Date

- Month - Day Year

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number

Supervisor

First Name Last Name

Position

May we contact your supervisor for a reference?

Yes No

Do you consider yourself a Christian? *

Yes No

If yes, how long have you been a Christian? (Years) *

What is the basis for your salvation? (i.e. What is a Christian?) *

What is the name of your church? *

Denomination *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Pastor's Name *

First Name Last Name

Are you involved in your church? *

Yes No

If yes, how so?

How did you hear about First Choice? *

What is your reason for wanting to volunteer? *

What special skills, talents, gifts or personality traits would you bring to First Choice?

What do you consider to be areas of weakness?

Are there any personality types with whom you have difficulty working?

Have you had a criminal clearance in the last year? *

Yes No

If no, there will be a minimal fee to run a background check.

Have you had a child abuse clearance done in the last year? *

Yes No

Have you ever been convicted of a crime? *

Yes No

If yes, please explain:

Have you ever counseled a woman who was considering abortion? *

Yes No

If yes, please explain:

If no, how would you react to a woman who was considering an abortion?

Have you ever had an abortion? *

Yes No

Have you had any experience working with someone facing an unplanned pregnancy, possible exposure to a sexually transmitted disease/infection, single parents, etc.? *

Yes No

If yes, please explain:

How does your family/spouse feel about this involvement?

Under what circumstance(s) would you consider abortion as an alternative for a woman with a crisis pregnancy? *

Never an option In cases where the mother's life was in danger In cases of rape or incest In cases of extreme psychological distress

Have you had any traumatic experiences related to unplanned pregnancy, abortion, child abuse or other sexual issues? *

Yes No

If yes, please explain:

Are you currently under medical care for mental illness? *

Yes No

Have you ever been under medical care for mental illness? *

Yes No

If yes, when:

If yes, please explain:

In our attempt to provide the best possible care for our clients, it is our policy that a volunteer undergoing treatment for mental illness, child abuse and/or sexual assault must be recommended by their health care provider and pastor before they can have direct client contact. We will request your permission to contact both individuals to provide a reference. In most cases, direct client contact will be limited within the first 6 months of medical care. It's our conviction that God uses even the most painful experiences for His glory, and we want to contribute to His healing and restoration. Processing through difficult experiences and emotions before one attempts to help others contributes to a more effective ministry and a greater sense of well-being for the individual receiving treatment. Client contact and volunteer opportunities at First Choice are directly dependent upon references attesting to the volunteer's emotional/physical health, and the training and evaluation process of the First Choice staff.

Knowledge of how abortions are performed/methods used to perform abortions and the risks involved. *

Knowledge of NJ law regarding abortion. *

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

Knowledge of sexually transmitted diseases/infections. *

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

Knowledge of what the Bible teaches about salvation. *

Please provide the names and contact information for your pastor and four other people (non-family members) who we may contact for references. If the pastor of your church does not know you well, please instead list a pastor or ministry leader who does know you well.

Full Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail

Phone Number

- Area Code Phone Number

Full Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail

Phone Number

- Area Code Phone Number

Full Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail

Phone Number

- Area Code Phone Number

Full Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail

Phone Number

- Area Code Phone Number

Please check all of the volunteer opportunities in which you are interested.

Client Advocate Post-Abortion Counselor Real Talk Speaker RN or RDMS (ultrasound or STD screening) Baby Clothing/Supplies Coordinator Parenting Education Mentor Administrative/Office Help Maintenance Help

Please note the shifts available for each center. Only a few centers have both day and evening shifts available. Thank you.

In which center are you interested in volunteering?

Montclair (Daytime and Evening Shifts Available) Morristown (Daytime Only Shifts Available) Newark (Daytime Only Shifts Available) Plainfield (Daytime Only Shifts Available) Jersey City (Daytime and Evening Shifts Available)

Do you agree with these two statements? *

Yes No

STATEMENT OF FAITH

1. We believe the Bible to be the inspired, the only infallible, authoritative Word of God.

2. We believe that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit.

3. 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.

4. 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.

5. 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.

6. 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.

7. We believe in the spiritual unity of believers in our Lord Jesus Christ.

8. We believe that God wonderfully and immutably creates each person as male or female and that Christian marriage is the uniting of one man and one woman in a single, exclusive union, as delineated in Scripture.

To preserve the integrity of First Choice Women’s Resource Centers it is imperative that all persons employed by First Choice, or who serve as volunteers, agree to abide by this Statement of Faith.

STATEMENT OF PRINCIPLE

1. First Choice Women’s Resource Centers is an outreach ministry of Jesus Christ through His church. Therefore, First Choice Women’s Resource Centers, embodied in its volunteers, is committed to presenting the gospel of our Lord to women with crisis pregnancies - both in word and deed. Commensurate with this purpose, those who labor as First Choice Women’s Resource Centers’ board members, directors, and volunteers are expected to know Christ as their Savior and Lord.

2. First Choice Women’s Resource Centers is committed to providing its clients with accurate and complete information about both prenatal development and abortion.

3. First Choice Women’s Resource Centers is committed to integrity in dealing with clients, earning their trust, providing promised information and services, and eschewing any form of deception in its corporate advertising or individual conversations.

4. First Choice Women’s Resource Centers is committed to assisting women to carry to term by providing emotional support and practical assistance. Through the provision of God’s people and the community at large, women may face the future with hope and plan constructively for themselves and their babies.

5. First Choice Women’s Resource Centers does not discriminate in providing services because of the race, creed, color, national origin, age, or marital status of its clients.

6. First Choice Women’s Resource Centers does not recommend, provide, or refer for abortion or abortifacients.

7. First Choice Women’s Resource Centers offers assistance free of charge at all times.

8. First Choice Women’s Resource Centers is committed to creating an awareness with the local community of the needs of pregnant women and of the fact that abortion only compounds human need rather than resolving it.

9. First Choice Women’s Resource Centers does not recommend, provide, or refer single women for contraceptives. (Married women seeking contraceptive information should be urged to seek counsel, along with their husbands, from their pastor and physician.)

10. First Choice Women’s Resource Centers recognizes the validity of adoption as one alternative to abortion, but is not biased toward adoption when compared to the other life-saving alternatives. Centers are independent of adoption agencies, relating to them in the same manner as to other helpful referral sources. First Choice Women’s Resource Centers receives no payments of any kind from these agencies, does not enter into contractual relationships with the agencies, and does not share combined office space. Adoption agencies are not established under the auspices of centers. First Choice Women’s Resource Centers neither initiates nor facilitates independent adoptions, though they may refer for independent adoptions in states where it is legal.

Do you have any questions about these two statements?

I certify that the facts set forth in this volunteer application are true and complete to the best of my knowledge, and I authorize First Choice Women's Resource Centers to verify their accuracy and to obtain reference information concerning my character and capabilities. I release First Choice 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. If I become a volunteer at First Choice, I agree to fully adhere to its policies and rules, including those rules relating to maintaining client confidentiality. I recognize that, as a volunteer, I will serve in a different role than the employees of First Choice, 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 certify that I have read and am in full agreement with First Choice's Statement of Faith and Statement of Principle.

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Signature

Date

Volunteer Application

Emergency Contact Information

Education

Employment History

Volunteer Experience

Spiritual Information

Church Information

Volunteer Interests

Volunteer Knowledge Questions

References

Volunteer Opportunities

Statements of Faith and Principle

Applicant's Certification and Agreement

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