First Name
Middle Initial
Last Name
D.O.B
Street Address
Address Line 2
City
State
Zip Code
Phone #
E-Mail
Education Background:
College Major
Masters
Graduation Year
Present Employment:
Present Employment (if applicable):
Length of Current Employment
General Information:
1. How did you first become aware of Mend Medical Services?
2. Briefly state what makes you interested in working with Mend Medical Services.
3. What specific skills talents, gifts, or personality traits would you bring to this organization?
4. What do you consider your areas of strength?
5. What do you consider your areas of weakness?
6. List previous volunteer work including when, where, and how long.
7. List previous work in a ministry including when, where and how long.
8. If you are married, to what extent is your spouse supportive of your application to volunteer at Mend?
Additional Information:
If yes, how long have you been a Christian?
2. Please write a brief statement about your faith would affect your work with Mend Medical Services?
3. Are there any types of persons with whom you have difficulty working?
4. How to you handle conflict with others?
5. Please provide the following information concerning your local church:
Church Name
Pastor's Name
Attendance length
6. Have you had any experiences related to miscarriage or stillbirth?
a) Explain:
9. If yes to question 7 explain:
If you selected other please specify:
12. How would you rate yourself in the following areas:
13. What are your thoughts on sexual intercourse outside of marriage?
Volunteer Availability and Commitment
Mend has volunteer positions available remotely and in the office. Our office hours are Mon. - Fri. 9am to 5pm. If you are looking to volunteer in the office, our commitment is 1 day a week for 4 hours. We understand not everyone can make this commitment and some volunteer positions have the flexibility to work with you.
If yes to question 15, what service are you looking to offer clients?
If yes to question 15, how often?
17. How many hours are you willing to volunteer for Mend Medical Services?
Weekly
Monthly
If other to question 19, please specify:
20. References: Please choose three references that are not related to you and have known you for at least two years. Share this url with them: https://mendmedical.org/volunteer-referrals/
When they visit this url, they will be able to fill out a reference form which we will see and review. Once 3 separate references have been submitted on your behalf, we can move forward with your volunteer intake process.
21. Emergency Contact:
Please let us know who we should contact in case of an emergency.
Mission Statement - Mend Medical Services demonstrates the love of Christ by equipping and supporting women before, during, and after an unexpected pregnancy.
Our Purpose - Mend is a private, non-profit, life affirming organization whose purpose is to help women find and implement positive, loving-solutions for unplanned pregnancies. This ministry encourages women to choose life by offering support and assistance during these times of crisis. Mind Provides services to women in the Tulsa Metropolitan area without regard to race, age, financial status or religious preferences.
Statement of Faith - As individuals representing the organization God has built and grown, Mend Medical Services, can affirm these statements about our collective and individual faith:
We believe there is one God, the creator of all that exists, who is infinitely perfect, existing eternally in three persons: Father, Son, and Holy Spirit.
We believe Jesus Christ to be truly God and, in His incarnation, truly man.
We believe Jesus was born of the virgin Mary, conceived of the Holy Spirit, died on a cross for our sins, and was raised from the dead for our justification.
We believe Jesus is now seated at the right hand of God in majesty, making intercession as our High Priest. He will come again to establish His kingdom of righteousness and peace.
Applicant's Certification and Agreement
I certify that the facts set forth in this Volunteer Application are true and complete to the best of my knowledge, and I authorize Mend Medical Services to verify their accuracy and to obtain reference information concerning my character and capabilities. I release Mend Medical Services and any person or entity providing such reference information from all liability relating to the provision of such information or relating to any decision made based upon such information. If I become a volunteer for Mend Medical Services, I agree to fully adhere to its policies and guidelines, including those rules relating to maintaining confidentiality. I certify that I have read and am in full agreement with the Mend Medical Services Mission Statement, Statement of Purpose and Statement of Faith.
Submit