THANK YOU!

PERSONAL INFO:

Full Name

Email *

Phone *

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties. *

I accept

Address

City

State

Postal code

Date of birth

Race/Ethnicity (Grant Purposes Only)

Religious Affiliation

Criminal History

If yes, please explain the charge including month/year of conviction

Interested Position

AVAILABILITY:

Check all that apply

EXPERIENCE & MOTIVATION:

List your previous volunteer experience (if any)

Why do you want to volunteer with us?

What impact do you hope to make?

How did you hear about us?

EMERGENCY CONTACT INFO

Emergency Contact

Phone Number

Email Address

How many hours a week? *

Signature *

Clear

Date Signed *

If accepted as a Grace Place volunteer, my signature below indicates that I understand and agree to the following terms:
All information on this applications is true and complete. I understand that any falsification, omissions, or misleading information will be considered just cause fdor immediate dismissal. I also understand that there may be no positions available but will be notified when a position opens up.

By providing my phone number to Grace Place Pregnancy Care Center, I agree and acknowledge that Grace Place Pregnancy Care Center may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP”. *

Don't Lose Hope.

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Don't Lose Hope.

Donate