Fatherhood Coalition Application

First Name *

Last Name *

Organization Name (if applicable)

Email Address *

Street Address *

City *

State *

Zip Code *

Home Phone

Cell Phone *

May we contact you by text? *

YesNo

What is a Christian? *

What role should the father have in the life of their child/children? *

What is your stance on abortion and the protection of the child in the mother’s womb? *

Briefly state why you are interested in being a part of Monarchs Fatherhood Coalition. *

What experience do you have in serving the community and fathers? *

Please list what your organization does and what services you provide.

Reference 1 Name & Phone *

Reference 2 Name & Phone

I hereby affirm that the information provided on this application is true and complete to the best of my knowledge.

I recognize that the MFRC is a Christian ministry, and I openly acknowledge a personal faith in Jesus Christ as my Lord and Savior. I have read the Statement of Faith and am in agreement with its contents.

I believe in the sanctity of human life as taught in the Bible and, therefore, reject abortion as an acceptable option for a woman facing a crisis pregnancy.

I believe in abstinence outside of marriage and in the sanctity of marriage as taught in the Bible. Therefore, I commit to a lifestyle of sexual integrity.

I meet all qualifications and understand that if I fail to meet these qualifications, I will be reprimanded or possibly have my membership revoked.

I will consistently uphold the center’s policies relating to confidentiality even after I am no longer a member.

I understand the role membership in the Fatherhood coalition plays in our community and in the work of MFRC. I commit myself to faithfully serve as in agreeance with the stated requirements on the application. Additionally, I agree to attend meetings held Quarterly.

I have read, understand and agree with Monarch FRC’s Statements of Faith and Code of Conduct and I will, at all times, uphold them as well as all policies and procedures established by the Board of Directors and Executive Director.

Digital Signature (Type Full Name) *

Date *