Brook Haven House Inc.
Carthage N.Y. 13619
“A Place for New Beginnings”
Please be specific in your answers
| Date:__________________ |
| Name:____________________________________________ |
| Address:__________________________________________ |
| Phone #:__________________________________________ |
| Denominational Affiliation:_____________________________ |
| Who is your Pastor?_________________________________ |
| May we contact them? Yes No |
| Pastors Address:___________________________________ |
| Phone # __________________________________________ |
|
1. Who is Jesus to you? |
| 2. Why do you want to serve? |
| 3. How do you think God views people? |
| 4. List five things that you feel would improve people’s lives? |
| 5, Complete this statement, “ The most important thing that I can do as a Christian is |
| 6. What things do you feel you could help the most with? |
| 7. How has your personal relationship with Jesus impacted your daily life? |
| 8. What does “ The Grace of God” mean to you? |
| 9. Do you have a valid drivers license? Yes No |
| 10. Do you have any criminal history? Yes No |
Thank you for taking the time to fill out this questioner. A criminal background check maybe done prior to acceptance as a volunteer.
Sincerely;
Lawson Lehman – Pres.
BHH Board of Directors