Thank You for investing in young lives



1342 E. Primrose, Ste. C
Springfield, MO 65804
(East of Cox South)
417-877-0800
info@pccchoices.com
Client Services Volunteer Application for Pregnancy Care Center
Submit online below or Download form here
Name
Address
City
Zip Code
Phone
Cell
Work Phone
Email
Occupation
Marital Status
Date of Birth (MM/DD)    


The following volunteer positions are available in client services. These positions do require client contact and a more extensive application process. A background check is required. The volunteer will have extensive training in each area and because of this we do ask that the potential volunteer consider at least a one year commitment. We ask that your commitment be a four hour shift, one day a week. In order for client services to run efficiently we need to be able to count on you to honor your commitment. Please read the volunteer position descriptions below and choose those positions that are of interest to you. Also mark the day(s) and time(s) that best fit your schedule.
 
  Hostess - take clients shopping and perform various office tasks
  Mentor - complete extensive training to work one-on-one with clients
  P.T. Nurse - RN or LPN, perform pregnancy test and delivers results to client
  Receptionist - assist with office tasks, greet clients, schedule appointments and answer phones

A.M. P.M. Evening
  Mon 9 - 1
  Tue 9 - 1
  Wed 9 - 1
  Thu 9 - 1
  Mon 1 - 5
  Tue 1 - 5
  Wed 1 - 5
  Thu 1 - 5

  Tue 5 - 7


Please tell us about yourself:
 
Do you consider yourself to be a Christian?      Yes     No
What is a Christian?    
How long have you been a Christian?    
Where do you attend church?    
Briefly state why you are interested in volunteering at the PCC
Previous volunteer experience    
What are your strength and abilities?    
What do you consider to be your weakness?    
Have you ever counseled someone facing an unplanned pregnancy? Please explain.
Have you had any personal experiences related to abortion/adoption/miscarriage/still birth? Please explain.


References
Please provide references (other than family), such as pastor, friends or co-workers.
 
Name
Phone
Alt. Phone
 
Name
Phone
Alt. Phone
 
Name
Phone
Alt. Phone


Volunteer Agreement
 
Recognizing that PCC is a Christian ministry, I openly acknowledge a personal faith in Jesus Christ as my Lord and Savior. I have read the Statement of Faith and am in complete agreement with its contents.

I believe in the sanctity of human life as taught in the Bible and, therefore, reject abortion as an acceptable option for any woman facing a crisis pregnancy, except to save the life of the mother in some cases.

I believe in chastity outside of marriage and in the sanctity of marriage as taught in the Bible. Therefore, I commit to a lifestyle of sexual purity.

I accept the responsibility to act as an advocate on behalf of the men and women under my care and to give accurate information, emotional support and spiritual guidance. I will keep all information on center clients in the strictest guidance, in accordance with center policies. I will consistently uphold the center's policies relating to confidentiality even after I am no longer a volunteer.

Understanding the vital role the volunteers play in the work of the center, I commit myself faithfully serve on a regular basis. Additionally, I agree to attend volunteer meetings and trainings.

I have read, understand and agree with the Pregnancy Care Center's Mission and Statement of Faith and will, at all times, uphold it as well as all policies and procedures established by the Board of Directors and Executive Director.
 
    
Volunteer Digital Signature Date