Pro-Life Nurse Missions Training Application

COMPLETE THE TRAINING APPLICATION

Along with this application, you will need to provide a copy of your current NYS nursing license registration. If you don’t have one, please click here for more information.

Pro-Life Nurse Missions Training Application

The information provided here will be reviewed by CompassCare staff and remain confidential.

Application Form

Name

First

Middle Initial

Last

Nickname

Phone

Address

City

State/Province

Zip/Postal

Country

Preferred Method of Contact

Phone

Text

Where do you attend church?

Languages Spoken?

Interest in Pregnancy Care Work

Do you currently serve with a pregnancy care center?

Yes

Have you ever served with a pregnancy care center?

Yes

If yes to either question above, what was your role(s) at the pregnancy care center?

List the names of the Pregnancy Care Centers you have served with:

Name

Location

Years Served?

Name

Location

Years Served?

Name

Location

Years Served?

CompassCare Mission, Values and Strategy

Please carefully read the CompassCare Mission, Values, and Strategy statements below.

CompassCare Positional Statements

1-ABORTION

2-BIRTH CONTROL

1.	For far too long, “sex education” in our schools has concentrated on birth control instead of self-control.  We believe that, so long as people engage in sexual relationships outside of marriage, there will continue to be great numbers of unplanned pregnancies, sexually transmitted infections and broken lives.
2.	Much of the difficulty encountered in confronting the problems of young adult promiscuity and pregnancy stems from a paradox engendered by the birth control establishment.  Though young people are taught that sex outside of marriage is “no big deal,” they sense its profound significance and so feel both permission and desire to become sexually active.  This has produced ever-higher rates of young adult sexuality, pregnancy, abortion and disease – the very problems that expensive, tax-funded programs promised to prevent.
3.	CompassCare Pregnancy Services is working to reach young adults with the less appealing but more truthful message that sex can only be safe and loving within the context of a permanent, marital relationship.
4.	Our staff does not refer or provide patients with birth control.

3-STATEMENT OF FAITH*

1.	We believe the Bible to be the inspired, the only infallible, authoritative Word of God.
2.	We believe that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit. 
3.	We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.
4.	We believe that for the salvation of lost and sinful people, regeneration by the Holy Spirit is absolutely essential, and that this salvation is received through faith in Jesus Christ as Savior and Lord. 
5.	We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life.
6.	We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation.
7.	We believe in the spiritual unity of believers in our Lord Jesus Christ.

*The above Statement of Faith is consistent with that of the National Association of Evangelicals.

4-STATEMENT OF PRINCIPLE

1.	CompassCare Pregnancy Services is an outreach ministry of Jesus Christ through His church.  Therefore, CompassCare is committed to presenting the gospel of our Lord to women in crisis pregnancies – both in word and in deed.  In keeping with this purpose, those who serve the agency as board members, staff, and volunteers are expected to know Christ as their Savior and Lord.
2.	CompassCare Pregnancy Services is committed to the highest degree of integrity in dealing with its patients, earning their trust, providing promised information and services, and avoiding any form of deception in its corporate advertising or individual conversations.
3.	CompassCare Pregnancy Services offers assistance free of charge and does not discriminate on the basis of age, gender, marital status, race, or religious preference.
4.	CompassCare Pregnancy Services provides accurate and complete information concerning prenatal development, abortion procedures and risks, and alternatives to abortion. Recognizing that abortion compounds human need rather than resolving it, this agency does not recommend, provide, or refer for abortions or abortifacients.
5.	CompassCare Pregnancy Services is committed to meeting a woman’s need at the point of decision regarding an unplanned or unwanted pregnancy.  Through emotional support and practical assistance, women may face the future with hope, and plan constructively for themselves and their babies.
6.	CompassCare Pregnancy Services supports adoption as an excellent alternative to abortion for women experiencing unplanned and unwanted pregnancies.  A list of referrals to adoption agencies and attorneys is available for those who find parenting to be impossible at this stage of their lives.  However, this organization does not initiate or facilitate adoption for our patients, nor do we receive payment of any kind from these agencies.
7.	CompassCare Pregnancy Services provides accurate and complete information on birth control, distinguishing between methods that prevent conception and abortifacients, but does not provide or refer patients for birth control.
8.	CompassCare Pregnancy Services is committed to encouraging sexual abstinence among those who are single, and fidelity within a marriage relationship.

If you have any variance with any part of the four Positional Statements above or any questions about them, please state them below.

References

Pastor’s Name

Phone

Pastor’s Reference Form Link

PCC Leader’s Name

Phone

PCC Director’s Reference Form Link

Relevant Experience and Skills

Organization

Job Title

Responsibilities

Organization

Job Title

Responsibilities

Organization

Job Title

Responsibilities

Organization

Job Title

Responsibilities

Organization

Job Title

Responsibilities

Please provide us with information about skills you may have. These can be office skills, computer skills, medical skills, counseling skills, etc.

Schedule Training

COURSE SELECTION (check one):

CompassCare Optimize Patient Service Process Course

Your Pregnancy Care Center’s Process

PREFERED DATES FOR TRAINING (Monday-Friday)

Commitment to Standards and Non-Disclosure

CompassCare is committed to serving our patients with the highest standard of professionalism.  To do this, we require that all trainees agree to and commit to the standards listed below.  Please read each of the standards carefully.  We require that you adhere to these standards at all times during your involvement with CompassCare.
NOTE – If you have a question about a standard or feel that you may be unable to adhere to a standard, please indicate this in the space at the end of this section.
•	I will know and responsibly work towards fulfilling CompassCare’s Mission and Strategy.  
•	I will apply the values of Dignity, Relationality, Fighting Spirit, Relevance, and Accountability to my role and activities at CompassCare. 
•	I will serve women in unplanned pregnancies and post-abortion counseling with care and compassion, speaking the truth in love through ministry and not manipulation.  
•	I will keep all patients’ identities and life situations in strict confidence at all times.
•	I will keep all donors’ identities and donations in strict confidence at all times.
•	I will keep all business operations, processes, methods, and documentation of CompassCare in strict confidence at all times.
•	I will comply with the Policies and Procedures established by CompassCare.
•	I will never refer or advise any woman to have an abortion.
•	I will uphold CompassCare’s policy on birth control, which is abstinence only for unmarried patients.
•	I will maintain my scheduled hours and to seek a qualified substitute when necessary.
•	I will be prepared for my scheduled duties and will remain responsibly engaged while performing my duties. 
•	I will pray for CompassCare staff, volunteers, and patients.
•	I will commit to a monogamous marriage relationship during my time as a CompassCare trainee (if married).
•	I will remain sexually abstinent during my time as a CompassCare trainee (if unmarried). 
•	I will maintain any professional licenses and certifications required.

Questions or comments concerning the above Commitment to Standards and Non-Disclosure:

Signature of Agreement and Commitment

BY TYPING YOUR FULL NAME, YOU ARE SIGNING THIS DOCUMENT

Date

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STEP 4: COMPLETE THE SCHOLARSHIP APPLICATION

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