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Volunteer Application

You may fill out the Volunteer Application Form below. Once we receive it, we will contact you with further information. Please review our Statement of Faith and our Statement of Principle.

Volunteer Form

Your email address will not be published. Required fields are marked *
First Name
Last Name
Date of Birthday
Home Address
Home Phone
Work Phone
Position desired
Agree Statement of Faith
Yes No
Agree Statement of Principle
Yes No
Marital Status
Married Single
Previous Occupation
Are you a Christian?
Yes No
How long have you been a Christian?
Name of church you belong to?
Pastor's Name
Which one of the following is your church?
Any Biblical or special training?
Please describe how you came to know Jesus Christ as your personal savior

What is a Christian?

What is your formal education?
What was your area of concentration?
Please state why you are interested in volunteering at the RPC?
How does your spouse/family feel about you volunteering?
Have you ever counseled a woman who was considering an abortion?
Yes No
If Yes, please explain
Have you ever had an abortion or (men) opted for an abortion for a partner?
Yes No
If Yes, please explain
Under what circumstances would you consider abortion as an alternative for a woman with a crisis pregnancy?
Never an option
Risk of the mother's life
In cases of rape/incest
Cases of severe deformity
If Other, please explain