Bahá’í Service in the Atlantic Region Home Front Pioneering or Mobile Service Interest Form

Instructions

This interest form is intended for those who are exploring possibilities of offering service as a Home Front Pioneer or Mobile Resource to the Atlantic Region (DC, DE, MD, VA). Please provide as much information as possible.

First Name *

Last Name *

Email *

Phone *

Current Home Cluster, Locality, and Sector/Unit

Type(s) of Service Offered

Check all boxes that applyI want to settle as a home front pioneer.I want to serve as a mobile resource.I would like to regularly offer prayers for all those arising to serve as mobile resources or homefront pioneers, as well as for the progress of the goal clusters that these friends are serving in.I would like to donate funds to the Regional Bahá’í Council of the Atlantic States to support meeting the needs and goals of the current Plan. (To do so, please see related section on https://www.rbcatlantic.org/homefront-pioneering/)

Home Cluster Service Focus

I would like to increase my service(s) in my home cluster to help deepen institute experience there among other friends (and myself), who may in time be able to offer service in surrounding clusters, focusing along the following path(s) - Check all that apply.Hosting DevotionalVisiting HomesTutoring Study CirclesAnimating Junior Youth GroupsTeaching Children's Classes

When can you begin your period of service? *MM/DD/YYYY

What is the period of your commitment? *(For example: one year, two years, six months, etc.)

Gender

FemaleMale

Ethnicity

Date of Birth *MM/DD/YYYY

If an enrolled Bahá’í, please provide your Bahá’í ID#

What type of financial support is available to you during your dedicated period of service?

Outline financial resources.

Will you have access to a car during your period of service? (Yes/No)

YesNo

Driver's License Issuing State and License Number

In order to serve in the Atlantic region, health insurance is mandatory. Do you currently have health insurance? (Yes/No)

YesNo

Health Insurance Provider Please provide the name of your health insurance company

U.S. Citizen?

YesNo

Marital Status

SingleMarriedMarried with children

Language(s) Spoken (Please list any languages in which you feel comfortable communicating and conversing with others, for example, in the context of a home visit or study circle.)

Regional Bahá'í Council of the Atlantic States

Regional Bahá'í Council of the Atlantic States

Bahá’í Service in the Atlantic Region Home Front Pioneering or Mobile Service Interest Form

Training Experience Thus Far - Please place a check mark next to the applicable course(s) that you have completed and/or tutored thus far.

Other Factors

Verification