Cass County's only Pregnancy Resource Center for more than 30 years
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Volunteer Application
Personal Information
Full Name
(Required)
Preferred Name
(Required)
Address
(Required)
Street Address
City
State
ZIP
Primary Phone
(Required)
Secondary Phone
Email
(Required)
Emergency Contact
(Required)
Relationship
(Required)
Phone
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
T‑Shirt Size
(Required)
How did you hear about Shiloh/Clara Center
Availability & Areas of Interest
Please indicate all times and roles that interest you below
Day(s) Availability
Monday
Tuesday
Wednesday
Thursday
Friday
Day(s) Availability
Daytime (Ex, 9:00 a.m. to 3:00 p.m.)
Occasional evenings (Ex, 5:00 p.m. to 7:00 p.m.)
As‑needed/on call
Preferred Service Areas
Client Care & Advocacy (hospitality, intake support)
Boutique & Donations (sorting, stocking, client shopping)
Parenting Classes (set‑up, hospitality, facilitation assist)
Administrative/Receptionist (data entry, phone, mailings)
Facilities (light maintenance, special projects)
Church/Community Ambassadors (booths, events)
Prayer Team
Professional Services (medical, counseling, legal, etc.)
Are you interested in volunteering at one of our seasonal fundraising events?
Yes
No
Do you have any specialized skills that would support our mission:
What motivates you to volunteer with our organization:
Experience & Skills
Current Employer/Occupation
Relevant Experience (Nonprofit, Ministry, Education, Medical, etc.)
Special Training/Certifications (CPR, Mandated Reporter, RN, etc.)
Languages Spoken
Faith & Mission Alignment
Shiloh and Clara Women’s Center are Christ-centered ministries. We serve clients of all backgrounds with grace and compassion. Your answers help us understand how you will support that environment.
I affirm the mission of Shiloh and Clara Women's Center and commit to serving each client with dignity, compassion, confidentiality, and respect.
I am comfortable volunteering in a faith-based setting where prayer may be offered when requested.
Home Church (if any)
Pastor/Leader (optional)
How has God led you to serve in this area of mission?
Background & References
A background check may be required for specific volunteer roles.
I authorize Shiloh/Clara to conduct a background check, if needed.
Have you ever been convicted of a Misdemeanor or Felony? If yes, please explain.
Reference #1
Reference #1 Name
Reference #1 Relationship
Reference #1 Phone
Reference #1 Email
Reference #2
Reference #2 Name
Reference #2 Relationship
Reference #2 Phone
Reference #2 Email
Communication Preferences
Communication Preferences
Email updates
Text reminders for shifts
Phone calls
Best Time/Method To Reach You
Volunteer Covenant & Confidentiality
As a volunteer, I agree to:
Maintain strict confidentiality;
Represent the mission and values of Shiloh and Clara Women’s Center;
Refrain from providing medical, legal, or financial advice outside my role and training;
Complete required trainings;
Notify staff of any schedule changes or concerns.
I have read and agree to the Volunteer Covenant & Confidentiality Guidelines.
(Required)
I have read and agree to the Volunteer Covenant & Confidentiality Guidelines.
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