Volunteer Application

Thank you for your interest in becoming a house parent for Mercy Home! Please fill out this application form to start the process.

Date
Date
Name *
Name
Spouse's Name
Spouse's Name
Address
Address
Phone
Phone
What situations are you willing to accept?
Will you need bedroom furniture for the woman?
Does anyone in your home smoke?
Do you or your spouse hold any positions in the church?
What age of women do you prefer to house?
Do you have any experience working with youth or young adults?
Have you or your spouse ever mentored someone?
Have you or your spouse ever been arrested?
Are you BOTH (if a married couple) committed to becoming house parents for Mercy Home?
Please provide 4 references, including your pastor. Please provide name, email, and address for all references.