Life Coach Volunteer Application - Orphan Care Alliance

This is an application to begin the process of becoming a Life Coach with Orphan Care Alliance.

Date

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Gender

Martial Status

Date of Birth

Please list below all members of your household:

Name

First Last

Gender

Age

Relationship to Applicant

Name

First Last

Gender

Age

Relationship to Applicant

Name

First Last

Gender

Age

Relationship to Applicant

Name

First Last

Gender

Age

Relationship to Applicant

Name

First Last

Gender

Age

Relationship to Applicant

Education

Highest Level of Education Completed

Degree (if applicable):

Postgraduate (if applicable):

Other Relevant Training or Certifications:

Employment

Current Employer:

Position Held:

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor's Name

First Last

Supervisor's Title

Employer Phone

Dates of Employment (Start to Finish/Current)

Church Affiliation

Name of Church:

Pastor's Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Church Phone

How long have you attend this church?

Please give a brief explanation of previous and current involvement with your church:

Legal

Have you ever been convicted of a felony?

Yes

Application Questions

Please answer all of the following questions as completely as possible.

1. Being a ministry volunteer requires that you:a. Be a Christian for a minimum of one year b.Complete the following required screening process i. Interview / Introduction with Life Coach Director ii. Complete 3 References Personal (2) Pastoral (1) iii. Background Checks (Provided by OCA)Do you meet these requirements?

Yes

2. Would you have any restrictions affecting your availability to volunteer? If so, please explain below.

3. Have you had any recent injuries or illnesses, or do you have any physical challenges or limitations that would impact your ability to maintain your volunteer commitment? If so, please explain below.

4. Write out a brief personal testimony of how you came to Christ.

Why do you want to become a volunteer with Orphan Care Alliance?

Do you have any previous experience volunteering or working with youth? If so, please specify below.

Please list your hobbies and interest.

How would you describe yourself as a person?

How would your friends, family and/or co-workers describe you?

Are you willing to communicate regularly and openly with Orphan Care Alliance staff, and recommend additional ideas, opportunities, or improvements?

Yes

Statement of Faith

1. We believe the Bible to be the inspired, the only infallible, authoritative Word of God. 2.We believe that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit. 3. We believe in the deity and humanity of Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, in His present rule as Head of the Church, and in His personal return in power and glory. 4.We believe that, for the salvation of lost and sinful man, repentance of sin and faith in Jesus Christ results in regeneration by the Holy Spirit and that Jesus Christ is the only way of salvation. 5.We believe in the present ministry of the Holy Spirit, by who’s indwelling the Christian is enabled to live a godly life. 6. We believe in the resurrection of both the saved and the lost, they that are saved into the resurrection of life and they that are lost unto the resurrection of damnation. 7. We believe God creates each person as male or female and the term marriage has only one meaning: the uniting of one man and one woman in a single, exclusive union. 8. We believe God creates all human life in His image, including the pre-born baby, the orphan, the widow, the aged, the physically or mentally challenged, and every other state or condition from conception through natural death. 9. We believe in the spiritual unity of believers in our Lord Jesus Christ, with equality across racial, gender, and class differences.

Please type your full name as an electronic signature that you affirm your belief win the above Statement of Faith.

Please read this carefully before signing.

Orphan Care Alliance appreciates your interest in becoming a volunteer!

Please read and check each circle that you agree and fully understand.

I agree to follow all OCA policy guidelines.

I understand that OCA staff is not obligated to provide a reason for their decision in accepting or rejecting me as a volunteer.

(optional) I agree to allow OCA to use any photographic image of me taken while participating in the ministry programs. These images may be used in promotions or other related marketing material.

I understand I must submit all of the following items after submitting this application, and that any incomplete information will result in the delay of my application being processed: • Copy of Valid Driver’s License • Copy of Proof of Auto Insurance • Background Check Form(s) provided by Life Coach Director and Social Security Number for background checks

Electronic Signature

By typing your full name below, you attest to the truthfulness of all information listed on this application and agree to all the above terms and conditions.

Electronic Signature (Print Your Full Name Below)

Date

References Personal (2) Pastoral (1)

Please list the names, addresses, and phone numbers of three people you would like to use as character references (only those you have known for a year) with one being a person of Pastoral Leadership. You may include one relative. Any information Orphan Care Alliance gathers from these references will be held as confidential and not released to you, the applicant.

Personal Reference (1)

Personal Reference Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Best Time to Call

Relationship

How Long Known

Personal Reference (2)

Personal Reference Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Best Time to Call

Relationship

How Long Known

Pastoral Reference

Pastoral Reference Name

First Last

Church Name

Church Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Best Time to Call

Relationship

How Long Known

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth

Current Drivers License No.

State of Drivers License

Please list any other cities, states and dates of residency you have lived during the past 10 years.

My Printed Name Below Serves as an Electronic Signature for All Information in This Application to be True to the Best of My Knowledge

Date