“We could ask any questions about anything and get no judgment. Also, everyone was so nice!” ~Client Feedback 2017 Volunteer at The Haven Personal Information First Name * Last Name * TitleDr.Mr.Mrs.Ms. Street Address * Apartment, suite, etc * City * State/Province * ZIP / Postal Code Home Phone Number CheckboxOkay to call Work Phone Number CheckboxOkay to call Cell Phone Number CheckboxOkay to call Email Address * Marital statusMarriedSingleWidow/widower Date of Birth T-shirt size *LXXLXLLMS Spoken Languages Other than EnglishASLSpanishChineseFrenchOther Spouses Name (if applicable) * Name of Local Church * Pastor's Name * Availability/Interest Please indicate the days and times you are usually able to volunteer. Monday MorningAfternoonEvening Tuesday MorningAfternoonEvening Wednesday MorningAfternoonEvening Thursday MorningAfternoonEvening Friday MorningAfternoonEvening My availability is OngoingOngoing, except between these datesOnly between these dates From To Assignment Preference Assignment PreferenceAbortion Recovery/Haven Speaker [Volunteer Services]Administrations [Volunteer Services]Cleaning/Organizing [Volunteer Services]Client Advocate [Volunteer Services]Facilitator: Abortion Recovery (Individual, Weekend or 10-Week Group) [Volunteer Services]Facilitator: Monthly Support Group (In-Person or Virtual) [Volunteer Services]Facilitator: Unbound Bible Study (14-Week Group) [Volunteer Services]Food/Hospitality [Volunteer Services]Grief & Loss Coaching [Volunteer Services]Haven Team Meeting [Volunteer Services]Outreach [Volunteer Services]Prayer Team [Volunteer Services]Social Media [Volunteer Services] Type here… Background Have you or someone you know ever had an abortion experience? If yes, please explain: Type here… Christian Testimony Please tell us about your faith in Jesus Christ and your participation in a local church community. Please indicate (1) the number of years you have lived as a Christ follower and (2) your views on abortion. Type here… Reference First Name Middle Name Last Name Street Address Apartment, suite, etc City State/Province ZIP / Postal Code Phone Number (Home or Cell) RelationshipCo-workerDaughterFatherFriendMotherNeighbor Email Address Emergency Contact First Name Last Name Home Phone Work Phone Cell Phone RelationshipCo-workerDaughterFatherFriendMotherNeighbor Mission Statement & Requirements To provide Biblical reconciliation and healing to individuals with an abortion experience and to be the best neighbors we can to those who work at the abortion facility. Please Note: Haven volunteers will be required to sign our Statement of Faith, Code of Conduct & Confidentiality Statement, which will be provided to you at your volunteer interview. Submit