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Poiema Foundation - Education and Public Awareness of Human Trafficking

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Volunteer Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone*

Home Phone

Email*

Spiritual Journey

What church to you attend?*

Are you a member?*

Yes

No

What is the Pastor's name?

Volunteer Work

Please describe any volunteer work you do or have done at your church and when.

Volunteer Work

When

Spiritual Journey*

Please describe your spiritual journey - your conversation and nay important experiences in your spiritual journey.

Activities*

Please describe any activities that contribute to your relationship with Christ, such as Bible Study, small group, prayer, church attendance. Are these working for you? What else do you need to continue growing in your walk with Jesus?

Spiritual Gifts*

Please describe your spiritual gifts and how you discovered them.

Poiema Foundation Ministry

Desire to work with Poiema.*

Please describe any experiences in your life that influenced your desire to work with Poiema.

Previous Experience*

Please describe past experiences you have working with this population or a similar population (Previous experience not required).

Characteristic - Beneficial*

Please describe any personal and spiritual characteristics that you feel would benefit Poiema.

Characteristic - Hindrance*

Please describe any personal, mental, emotional, and spiritual characteristics that you feel may be a hindrance for you or others while working with Poiema.

Fears*

What fears do you have about working in this type of ministry?

Why Poiema*

What are some of the reasons that you want to be a part of the Poiema ministry?

History

Answering yes to this question does not automatically disqualify you from serving with Poiema Foundation. We will discuss your answers and determine if this is the best opportunity for you. It is our first concern that you are able to stay safe and healthy in this ministry.

Have you ever been involved in the adult entertainment industry?**

Yes

No

Adult Entertainment Industry*

When did you leave and what have you done to deal with this past, such as counseling or prayer?

Have you ever struggled with pornography or any other sexual issues?*

Yes

No

Pornography or Other Sexual Issue*

Please elaborate.

Have you ever been arrested.*

Yes

No

Reason for Arrest*

Please list dates of arrest, reason for arrest and outcome.

Date

Reason

Outcome

Do you have a history of alcohol or substance abuse?*

Yes

No

Recovery Dates*

Please list dates of recovery.

How long has it been since using?

Please describe any impact on family, employment, etc.

Volunteering

Time Commitment*

If volunteering with Poiema is something you decide to commit to, are you willing to commit 1-2 evenings during the week on a monthly basis?

Yes

No

Short or Long Term Commitment*

Are you interested in a sho?rt or long term commitment

Short

Long

What level of monthly time would you be willing to commit?*

Other Pertinent Details

Please describe any other pertinent details you feel we should know, such as how God is leading you towards this ministry right now in your life or specific areas of interest within Poiema.

Email

This field is for validation purposes and should be left unchanged.

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Our Hope Is...

A world where sexual abuse and exploitation is not tolerated; and the victims are fully restored.

Fight Human Trafficking

To donate by check, mail your donation to:

Poiema Foundation
P.O. Box 757
Rockwall, Texas 75087

Poiema Foundation

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