Women in Transition OKC Volunteer Application

If you are applying to be a NEIGHBOR (not a volunteer) please do not fill out this application. Contact your Program Manager for a Neighbor Application.

GENERAL INFORMATION

First Name *

Last Name *

Maiden Name

Age

Birth Date *

// (mm/dd/yyyy)

Gender *

Male
Female

Race/Ethnicity *

African American
Asian
Caucasian
Hispanic
Native American
Other

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Phone Type *

Phone2

Phone Type 2

Email *

Best way for WIT Staff to contact you: *

Phone
Email
Work
Home-day
Home-night

Marital Status: *

Single
Engaged
Married
Separated
Divorced
Widowed

EMERGENCY CONTACT INFORMATION

Emergency Contact Name *

Relationship *

Contact's Phone *

FAITH PRACTICES

Church (include campus if applicable)

How long have you attended there?

Pastor's Name and Contact Number

Describe the spiritual disciplines you practice for your continued spiritual growth.

PERSONAL EXPERIENCES

Were you ever incarcerated? *

Yes
No

Were you ever in foster care? *

Yes
No

Have you ever been involved in a mentoring program? *

Yes
No

If so, when and where?

Why are you interested in being a spiritual mentor to a woman in transition? *

Describe any experiences you have had with mentoring or supporting individuals.

Do you have a mental health diagnosis that requires regular medication or counseling therapy? *

Yes
No

If so, how long have you been consistent/compliant in your health care regimen?

Have you ever had a history of substance abuse? *

Yes
No

If yes, how many consecutive years have you been in a non-addictive period?

EMPLOYER

Occupation:

Present Employer:

How many years have you been here?

Business Address:

Supervisor's name and contact number.

REFERENCES

Pastor, leader or staff member at church. Please list name and contact number. *

Friend reference. Please list name and contact number. *

How do you like to be recognized as a volunteer?

How did you learn about Women in Transition? *

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

When you hit the "Submit" button you will be taken to the next page of this survey.

Neon CRM by Neon One

Women in Transition OKC 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

Women in Transition OKC 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