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Poiema Foundation - Education and Public Awareness of Human Trafficking
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Volunteer Application
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Volunteer Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Montana
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New York
North Carolina
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Northern Mariana Islands
Ohio
Oklahoma
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Add
Remove
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
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Remove
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.
Name
This field is for validation purposes and should be left unchanged.
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