Christ House
About UsOur ProgramsMeet Our PatientsSupport Our WorkNews & Events
Full-time Volunteer Application Form

At this time, we are no longer accepting applications for the 2008-2009 program. All positions have been filled. Please check back in January 2009 to complete an application for the 2009-2010 program.

Your application is complete when each of the following has been received:

  • A completed Christ House full-time volunteer application,
  • Three personal and professional references (please list in the appropriate space on this form),
  • Responses to each of the following essay questions:

    Describe an experience or relationship that has affected you.  How has it affected you?  What insights did you gain about yourself? (limit 500 words)

    What would you expect to gain from a volunteer experience at Christ House? (limit 500 words)

Essay responses should be completed in a word or text document and submited to the Director of Volunteers via email.

PLEASE NOTE: You will not be able to 'save' a copy of this document as you work on it - clicking 'back', or 'refresh', on your browser may cause you to lose all of your work! When you submit your application, we will send you an e-mail in a few days with all of your answers on in for your records.

Name:
Present Address:
Until:
Home Phone: Cell Phone:
E-Mail Address:
Permanent Address:
Sex:    
Date of Birth: Citizenship:
Do you have a valid driver's license? State:
Have you ever been convicted of a felony?
If yes, please explain:
What languages, other than English, do you speak?

Education, Work Experience, and Certification

Education History: List the three most recent schools attended (high school, college, seminary, business, trade, etc.), beginning with the most recent.
 
School #1: City, State: Dates:
 
Field of Study: Degree Attained:
 
Degree & Date:
   
 
School #2: City, State: Dates:
 
Field of Study: Degree Attained:
 
Degree & Date:
   
 
School #3: City, State: Dates:
 
Field of Study: Degree Attained:
 
Degree & Date:
 
Work History : List work experience from the past four years, beginning with the most recent.
 
Employer #1: City, State: Dates:
 
Nature of Work :
Reason for leaving :
  Duties:
 
Employer #2: City, State: Dates:
 
Nature of Work :
Reason for leaving :
  Duties:
 
Employer #3: City, State: Dates:
 
Nature of Work :
Reason for leaving :
  Duties:
Additional Work Experience : List any additional work experience from the past four years in the same format as above: employer, location, dates of employment, nature of work, reason for leaving, and duties.
Certifications : List any professional certifications that you have. Include the certifying organization and the date of certification.

Other Interests and Experience

1) List any volunteer experience, group affiliations, and leadership experience.
2) What are your long-term goals and how does Christ House fit into them?
3) List some of your hobbies, interests, and leisure activities.

Placement Interests

4) How did you learn about Christ House?
5) Why do you want to volunteer at Christ House?
6) For which positions are you applying?
Case Management Assistant Medical Unit Assistant
Community Builder Nursing Assistant
Generalist Staff Nurse
7) If you are applying for more than one position, please rank the positions in order of your interest. If you have no preference, please indicate "no preference."
8) Are there any reasons other than serving at Christ House that attract you to Washington, D.C.? (e.g. job opportunity, friends, etc.)? Please explain.
9) Describe any experiences you have working with vulnerable populations.
10) Christ House is a 24-hour facility. Are you willing to work a full-time, flexible schedule, including some evenings, weekends, and holidays?

Community Living

11) Describe any experience you have had living with groups of people. What insights did you learn about yourself and/or group dynamics?
12) Christ House welcomes volunteers from all faiths and beliefs. Emmanuel House, our volunteer residence, is an "intentional community." What does this term mean to you, and how do you feel about the prospect of living in such a community?
13) Are you willing to attend, participate in, and occasionally lead a weekly evening gathering of volunteers, which includes a time of prayer or reflection?

Other Information

14) Are you interested in a yearlong position (August to July), or a short-term position (anything less than a year)? If short-term, enter desired start date and length of stay.
 

yearlong
short-term

15) Please list the names, addresses, e-mail and phone numbers of three references to whom you would like to have reference forms sent. Please provide two academic/professional references and one personal reference.
 

Reference #1:

  Name: Relationship:
  Address: City/State: Zip:
  Phone: Alternate Phone: E-Mail:
 

Reference #2:

  Name: Relationship:
  Address: City/State: Zip:
  Phone: Alternate Phone: E-Mail:
 

Reference #3:

  Name: Relationship:
  Address: City/State: Zip:
  Phone: Alternate Phone: E-Mail:
I certify that all of the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief and are made in good faith.
Electronically signed by: Date:

 

copyright 2007