Volunteer Form - Heartbeat of Miami

Section One: General

Name *

First

Last *

Last

Address *

Email *

Phone *

Marriage and Family

What is your marital status?: *

Do you have any children?

Emergency Contact Information

Name *

Phone *

Christian Faith and Practice

What church do you attend? *

How often do you attend? *

Clergy's Name *

Clergy's Phone Number *

Letter of Recommendation from Clergy (Image/Scanned File)

Maximum file size: 2.1MB

Do you understand and agree with HOM's Guiding Principles? *

Yes

No

Not Sure

What is it in your Christian faith that motivates you to join the ministry of Heartbeat of Miami? *

How did you hear about Heartbeat of Miami? *

Volunteer Experience/Professional Skills

Do you have any volunteering experience? *

Yes

No

How many hours per week or month can you realistically and reliably volunteer right now? *

Professional or special skills that you can offer *

What is your current employment status? *

Full-time

Part-time

None

Please attach your resume if you have one.

Maximum file size: 2.1MB

Section Two: Administration and Support Volunteer Opportunities

To be filled out by those interested in working "behind the scenes" to administrate, develop, and/or promote Heartbeat of Miami. Check the Support Service Volunteer Opportunities that interest you:

Development

Gala Banquet Committee

Donor Relations

Communications/Publications (Newsletter, Graphics, Website)

Speakers Bureau

Grant Writing

Special Gifts/Estate Planning

Church Liason

Walk for Life Volunteer

Business Administration

Administrative Assistant to Directors/President

Accounting and Receipting

Special Event Set-Up and Take-Down

Cleaning/Maintenance of Centers

Pickup/Delivery of Supplies

Audio/Visual Equipment

Computers and Office Equipment

Film/Video Production

Assemble Mailings

Section Three: Client Services Opportunities

Check the Client Services areas that interest you:

Professional Services

Doctor or Nurse

Radiologist or Sonographer

Medical Office Management

L. S. W.

Client Records

Counseling Services

Peer Counselor

Hotline Counselor

Crisis Intervention

Receptionist

Post-Abortion Ministry

Client Support Services

New Mother Mentoring/Parenting Classes

Mentoring Fathers

Baby Showers/Layettes

Abstinence Program

Sexual Integrity

Are you now living a lifestyle of sexual integrity, abstinent if single or faithful within marriage? *

Yes

No

Adoption Experience and Knowledge

Do you have any experiences with legal adoption? What are your impressions of adoption? *

Abortion Experience and Knowledge

Have you ever counseled a woman considering abortion? *

Yes

No

Have you ever had an abortion? *

Yes

No

Under what circumstance would you consider abortion appropriate? *

Never an option

In cases of rape/incest

To save the mother's life

If the mother is too young

If having a baby is too stressful

Other

Knowledge Check

Evaluate your present knowledge about the following areas:

Abortion procedures at various stages *

Excellent

Good

Fair

Poor

Abortion risks *

Excellent

Good

Fair

Poor

The trauma of the post-aborted experience *

Excellent

Good

Fair

Poor

Fetal development *

Excellent

Good

Fair

Poor

State and federal laws regulating abortion *

Excellent

Good

Fair

Poor

What the Bible teaches about abortion *

Excellent

Good

Fair

Poor

Section Four: Volunteer Agreement

I have read over Heartbeat of Miami's Guiding Principles and Volunteer Expectations and agree to uphold these truths and principles as a volunteer at Heartbeat of Miami.

Full Name *

Date of Birth *

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