I am applying to serve in the following ministry:*
Outreach Servant
Prayer Servant
iCare Servant
Gender:*
(Men requesting help are matched with male volunteer servants; women are matched with female servants.)
Male
Female
First Name*:
Last Name*:
Email address*:
Email address (re-type)*:
Address:
City:
State: Zip:
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Home Phone:
Work Phone:
Fax:
Date of Birth:
i.e. 03/23/1967
Education:
Are you a member of a church?
If you are not a member of a church you are not eligible to complete this application.
Yes No
Church Information: Name, Address, & Phone:
How often do you attend church?
Weekly
Bi-Weekly
Monthly
Only a few times a year
Never
Please explain your answer:
Are you a Christian?
Yes No
If you are a Christian, when did you accept Jesus Christ as your personal Lord and Savior?
Please write out your salvation testimony:
Describe your current relationship with Christ:
Carefully review the HandsForChrist.com Statement of Faith found within the " About Us " section of our web site. Do you agree with the HandsForChrist.com Statement of Faith?
Yes No
If no, please explain why:
Please state why you would like to be an Outreach Servant, a Prayer Servant, or an iCare Servant with HandsForChrist.com:
Areas of Need: HandsForChrist.com Servants are willing to serve any individual seeking a spiritual or personal need. However, if your personal experiences have equipped you to minister in specific areas, please let us know. For example, if God has refined you through divorce, death of a loved one, financial problems, loneliness, singleness, marriage, addictions, abuse, etc., we would like to know. God may be able to use you to minister to a person going through the same thing:
What area(s) of need would you like to focus on? (Hold down your CONTROL key on your keyboard to select multiple needs).
Abuse
Addictions
Adultery
Aging
Alcohol/Substance Abuse
Anger
Anorexia/Bulimia
Business Travelers
Disabilities
Divorce
Doubt
Family Time
Fear
Forgiveness
Friendship
Grief/Loss
Guilt
Health
Hypocrisy/Carnal Christians
Kindness
Loneliness
Marriage
Military Personnel
Money & Riches
Parenting
Pornography
Prayer
Rejection
Self-esteem
Selfishness
Sex
Single Parents
Singleness
Stay-at-home Moms
Stress
Suffering
Temptation
Traveling Spouses
Truth & Honesty
Weariness
Workplace
Other:
References: Please give the complete names, addresses and telephone numbers for three references from your Church. Give one professional reference.
Church Reference:
One Church reference must be from your Senior Pastor or from a Member of your Church's Staff.
Reference 1
Name:
Phone:
Address:
Reference 2
Name:
Phone:
Address:
Reference 3
Name:
Phone:
Address:
Professional Reference:
Reference 4
Name:
Phone:
Address:
Safety and Integrity
For the safety and integrity of the HandsForChrist.com ministry all potential Servants must undergo a criminal background check that will be performed by ChoicePoint Corporation , unless the potential Servant is referred to HandsForChrist.com by a known and trusted source to our ministry.
Before the background check is administered, we must first receive your completed online Servant application. Once received, we will email or fax you a ChoicePoint criminal background check authorization form for your signature. Please review, sign and return the ChoicePoint authorization form to HandsForChrist.com by fax to 678-455-9493 or by mail to our corporate address below:
HandsForChrist.com
6835 Sterling Drive
Suwanee, Georgia 30024All information obtained is held in strict confidence and will not be released to another person or party, and the information obtained will be used solely for the purpose of determining your suitability to participate in the ministry of HandsForChrist.com.
Have you ever been convicted of a crime?: Yes No
If so, please tell us about the crime and how you believe God may be able to use the experience of your criminal conviction to benefit others spiritually. Due to the sometimes-predatory nature of the Internet, if you have ever been convicted of a sexual crime you are not eligible to become a Servant for HandsforChrist.com:
Your Role as a HandsForChrist.com Servant
HandsForChrist.com Servants are volunteers who desire to encourage individuals spiritually through one-on-one discussion boxes from this site. Because of your growing relationship with Jesus Christ and your desire to pursue intimacy with God, you can communicate God's love, forgiveness and hope to hurting hearts and souls living all over the world.
HandsForChrist.com Servants are not professionally trained counselors or therapists.
HandsForChrist.com strongly encourages anyone needing or requesting professional counseling to contact their pastor or the American Association of Christian Counselors at www.AACC.net to find a professional in their area.
Submission Agreement & Servant Confidentiality Agreement
By submitting this application to HandsForChrist.com I agree to release and hold harmless HandsForChrist.com from any acts performed by the person I am assisting within my role as a HandsForChrist.com Servant.
I understand that HandsForChrist.com Servants must be at least 18 years old.
I also certify that the above information completed within this HandsForChrist.com Servant application is accurate and complete.
By submitting this application I agree to fully comply with the Policies and Procedures of the following HandsForChrist.com Servant Confidentiality Agreement: Any information that I may obtain on a Recipient while performing the ministerial duties of a HandsForChrist.com Volunteer Servant is considered to be strictly confidential, any retention, dissemination to any person or parties, or copying of any information received is strictly prohibited. I do understand that I am to discuss any Recipient confidentiality questions or concerns of what should be held in confidence with the HandsForChrist.com Administrative Staff.
Once you've submitted your application:
We will send you an email confirming we received it.
We will review your application and notify you of the results.
Upon acceptance, Outreach Servants will be asked to confirm that they have read Growing as a Christian 101 , by Bruce Bickel and Stan Jantz; Prayer Servants will be asked to confirm that they have read Bruce & Stan's Pocket Guide to Prayer , by Bruce Bickel and Stan Jantz; and iCare Servants will be asked to read and submit their answers to the questions found in the study guide section of Grace Walk , by Steve McVey.
After receiving confirmation that you have read your required book or, if you are applying to be an iCare Servant , we have received your answers to the study guide section of Grace Walk , we will email your password to you and connect you with a person who is seeking to know more about Jesus Christ, requesting prayer or needing spiritual encouragement.
To allow HandsForChrist.com to send you a response email concerning your application, you may need to set your Spam folder to accept email messages from admin@handsforchrist.com and rick@handsforchrist.com . It is likely that your account is equipped with a Spam filter that blocks email from "pop servers." (This is often the case with AOL, EarthLink, MSN, and Hotmail accounts). If you have checked your Spam folder and are unable to find a response email message from admin@handsforchrist.com or rick@handsforchrist.com please email us at admin@handsforchrist.com and will be happy to assist you.
Thank you for taking the time to complete this application.