Life Launch Volunteer Application

GENERAL INFORMATION

First Name *

Middle Name

Last Name *

Age *

Birth Date *

// (mm/dd/yyyy)

Gender *

Race / Ethnicity *

African American
Asian
Caucasian
Hispanic
Native American
Other

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Phone Type *

Alternate Phone

Phone Type 2

Email *

Marital Status *

Single
Engaged
Married
Separated
Divorced
Widowed

If married, spouse's name.

Do you have dependents living at home? *

Yes
No

If so, what ages?

FAITH PRACTICES

Church (include campus if applicable)

How long have you attended?

Pastor's name and contact number:

In 1-2 sentences, what does it mean to be a Christian? *

PERSONAL EXPERIENCE

We want to establish teams that have complimentary schedules, similar passions or interests, and valuable resources or experiences that could benefit everyone involved. The information on this application helps us accomplish these goals.

Have you ever been a foster parent? *

Yes
No

Were you adopted? *

Yes
No

Were you in foster care? *

Yes
No

Have you ever been involved in another mentoring program or youth service agency? *

Yes
No

If so, where and when?

Who do you credit as primarily raising you? (parents, grandparent, aunt, etc.) *

Why are you interested in becoming a mentor? *

Why do you think you would be a good mentor? *

How comfortable would you be with a youth who expresses a gay/lesbian or transgender sexual orientation/identity? *

Do you have a history of addiction or substance abuse that you wish to disclose to Stand in the Gap or think we should be aware of? *

Would you prefer to be matched with a male or female?

Male
Female
No preference

Would you like to be matched with anyone in particular - a friend, spouse, etc?

Yes
No

If yes, who?

Are you open to being matched with another mentor you don't know?

Yes
No

Is there anything else we should know about you?

REFERENCES

Manager or supervisor at work. Please list name and contact number. *

Non-family reference (for 5+ years). Please list name and contact number. *

EMPLOYMENT

Present Employer *

Occupation *

How long have you been there? *

SCHEDULE & AVAILABILITY INFORMATION

Can you offer and do you agree to offer at least 3-8 hours per month of face-to-face time with your Mentee? (3 hours is our minimum requirement.) *

Yes
No

Can you offer and agree to contact your Mentee (AS A TEAM) at least once per week via text, email, Facebook or phone? *

Yes
No

Do you plan to stay in the immediate area for at least 1 year from the start date of this program? *

Yes
No

If engaged, when do you plan to get married?

What days are you available to meet with your team? *

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

What days are you ABSOLUTELY NOT available? *

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I'm Available Any Day of the Week

MY PERSONAL INTERESTS

Are you more talkative or quiet? *

Talkative
Quiet

Are you more funny or serious? *

Funny
Serious

Are you more energetic or laid back? *

Energetic
Laid Back

Three other words that describe me are: *

When I have a choice, my top 2 favorite TYPES of movies are: *

My favorite subject in school was: *

The thing I hated most about school was: *

For me, the things that matter most in life are: *

Do you like to play and/or watch sports? What kind? *

If you watch TV, what types of shows? *

If you play music, what genre? *

If you make music, what type? *

If you like to read, what types of books or articles do you read? *

If you like to play video games, what kind? *

If you draw or paint, what do you like? *

If you like to write or compose, what kind? *

What are your hobbies?

What excites you?

If you like to go shopping, for what? *

If you like to eat, what are your favorite types of food? *

Other? Describe.

How do you like to be recognized as a volunteer/what are your love languages?

How did you hear about Stand in the Gap Ministries? *

Friend
Lunch & Learn
Facebook
Staff/Board Member
TV or Article
Website
Email
Other

* Required fields

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Life Launch Volunteer Application

Tulsa

Oklahoma City

Get Monthly News and updates Sent Right to Your Inbox.

Make a Financial Contribution to Stand in the Gap Ministries

Timeout Warning

Life Launch Volunteer Application

Tulsa

Oklahoma City

Get Monthly News and updates Sent Right to Your Inbox.

Make a Financial Contribution to Stand in the Gap Ministries