SWC Survey

Sidewalk Partners Team Information

You have reached this page because either you are interested in becoming part of our volunteer team or because you are a committed volunteer who is filling out this information to update your record with us.

Part 1: Biographical Information

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

Mobile Number *

I am best described as: *

Do you use text messaging? *

May we share your contact information with approved team members? *

Yes No

Please rank, in order from most to least preferred, the best way to reach you, providing any notes that might be helpful: Cell phone call, land line call, text message, email, facebook message. *

Part II: Committment

I am interested in *

Being a Sidewalk Counselor Being a Prayer Partner Joining or recruiting for the "Knight Watch" Volunteering as a coordinator Other (please explain in comments)

My commitment is: *

Part III: Statement of Peace, Belief, and Mission

To review the GCRTL Statement of Peace, Belief, and Mission, please visit our statement page. GCRTL trained Sidewalk Counselors are also asked to sign a sidewalk counselor pledge at the time of their training.

Do you agree to uphold the GCRTL Statement of Peace, Belief, and Mission, and (if applicable) your SWC Pledge? *

Yes No

Part IV: New Volunteers Only

New volunteers are asked to submit several additional pieces of information to assist in the vetting process. GCRTL maintains strict protocols with respect to sharing of personal information, safeguarding the privacy of abortion patients, and the way in which we interact with the community. We also want to make sure that our volunteers are adequately prepared for work on the sidewalk and have the appropriate training, mentoring, and spiritual guidance. Please answer the following to the best of your ability. Responses will be confidential to our leadership team.

How did you learn about us? *

Do you identify by faith as part of a specific denomination (ex: Catholic, Baptist, Reform, Methodist, etc)? This is optional, but helps us with team-building. *

What is your local church? If you worship at home or privately, please say "home church." *

If you have not been referred to us by a member of our team, please provide at least two references, along with their contact information. Note: if we cannot verify your references, we will reach out for additional information. *

Part IV: Other Comments & Submit Responses

Is there anything else you would like to share? *

Thank you for taking the time to fill out this survey. Doing so is very helpful for us to more efficiently and effectively schedule and retain volunteers!