Volunteer Application Name First Last PhoneEmail Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How did you hear about Into the Jordan? Facebook/Instagram Website Church Friend Other What is your educational background? Current student Second Have a high school diploma/GED Some college/associates degree Bachelors degree Graduate degree Doctorate degree Tell us about your employment status. Currently employed part-time Currently employed full-time Retired Other If employed, who is your current employer? If employed, what is your current position? Please describe it below, including how long you've been in this role. We ask that you provide 3 references. Please include their name, contact info, best form of contact, your relationship to them, and how long you've known them.Personal BackgroundPlease check all that might apply to your story. I have personal experience with: Recovery Sobriety Human abuse Human trafficking Mental health issues If you marked yes to having a personal experience with sobriety, please explain briefly here, including length of sobriety.Have you received or participated in any of the following treatment? Inpatient treatment Counseling Therapy Support groups Medical intervention Faith-based methods Non-traditional methods Other My religious viewpoint is: Christian (Baptist) Christian (Catholic) Christian (Methodist) Christian (Pentecostal) Christian (Non-denominational) Non-Practicing Christian Not practicing any religion Other Do you have any volunteer experience? If so, please elaborate.Do you have any experience working in a retail store setting? Yes No Personal StatementsI am comfortable talking about faith in God/Jesus. Strongly disagree Disagree Neutral Agree Strongly agree I am comfortable being around folks that may be in crisis. Strongly disagree Disagree Neutral Agree Strongly agree I regularly commit to things that I may not be able to fulfill. Strongly disagree Disagree Neutral Agree Strongly agree I am able to stand up for myself when a situation crosses my boundaries. Strongly disagree Disagree Neutral Agree Strongly agree I am capable of hearing shocking or graphic statements without reacting. Strongly disagree Disagree Neutral Agree Strongly agree I am willing to participate in training to prepare me to volunteer at Into the Jordan. Strongly disagree Disagree Neutral Agree Strongly agree What is your availability to volunteer with Into the Jordan?
