Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Birth Date
*
MM
DD
YYYY
Email Address
*
Please Select
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Full-Time Employee
Part-Time Employee
Student
Homemaker
Retired
Currently Unemployed
Employer and Position
*
Emergency Contact
*
Name, Phone Number, Relationship to you
Please describe your reasons for wanting to volunteer with IAMFreedomGirl.
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Please list your home church and your involvement.
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Brief testimony of how you came to the Lord.
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Describe your daily quiet time with the Lord.
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Please list any volunteer experiences you have participated in.
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List any and all skills, gifts, training, and/or educational degrees you could contribute that would be beneficial in being part of FreedomGirl.
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Addictions
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Never Experienced
Past Experiencses
Within the Past Month
Anger
*
Never Experienced
Past Experiencses
Within the Past Month
Co-Dependent Relationship
*
Never Experienced
Past Experiencses
Within the Past Month
Cult Involvement
*
Never Experienced
Past Experiencses
Within the Past Month
Disability (of any kind)
*
Never Experienced
Past Experiencses
Within the Past Month
Eating Disorder
*
Never Experienced
Past Experiencses
Within the Past Month
Emotional Hurt
*
Never Experienced
Past Experiencses
Within the Past Month
Employment Issues
*
Never Experienced
Past Experiencses
Within the Past Month
Homosexuality
*
Never Experienced
Past Experiencses
Within the Past Month
Learning Difficulty
*
Never Experienced
Past Experiencses
Within the Past Month
Loneliness
*
Never Experienced
Past Experiencses
Within the Past Month
Marriage / Divorce
*
Never Experienced
Past Experiencses
Within the Past Month
Mental Illness
*
Never Experienced
Past Experiencses
Within the Past Month
Physical Abuse (by others or to others)
*
Never Experienced
Past Experiencses
Within the Past Month
Pornography
*
Never Experienced
Past Experiencses
Within the Past Month
Rejection or mistreatment from church
*
Never Experienced
Past Experiencses
Within the Past Month
Self Abuse (not drugs / not alcohol)
*
Never Experienced
Past Experiencses
Within the Past Month
Sexual abuse (by others or to others)
*
Never Experienced
Past Experiencses
Within the Past Month
Social Services Involvement
*
Never Experienced
Past Experiencses
Within the Past Month
Suicide Thoughts / Attempts
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Never Experienced
Past Experiencses
Within the Past Month
Violence
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Never Experienced
Past Experiencses
Within the Past Month
Please explain briefly any involvement you have had with any of the issues from Personal History section, any that occurred in your past or within the last month. Is it a current struggle? How are you getting help?
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What are your views on dating, drinking and drugs? (FreedomGirl"s desire to live above reproach; your life is always on display for others to watch. Our ladies will see you as a role model –how do you feel about this?)
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Do you relate to women in the sex industry? Know anyone that has been involved or exposed to it?
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Have you had any experiences in co-dependent relationships? Knew anyone that was? Share specifics. (explain how this ministry is for the women and never about us).
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