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Opelousas Pregnancy Center Volunteer Application

Our organization encourages the participation of volunteers who support our mission. If you are interested in being part of our team we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.

Thank you for your interest in Opelousas Pregnancy Center
1.Please enter your first and last name below:
2.What is your mailing address (Street, City, State, Zip)?
3.What is the best phone number to reach you through call or text?
4.At what email address would you like to be contacted?
5.Are you currently employed and/or serving as a volunteer elsewhere? If so, please list your place of employment, position, and service opportunities. 
6.Which areas you are interested in volunteering?
7.Please select the days you are available to serve:
8.In case of emergency contact:
9.As a volunteer of our organization, I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees, and affiliates cannot assume any responsibility or liability for any accident, injury, or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward. By entering my first and last name, I agree to the terms as stated above: 
10.What church do you attend?