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Reference Form

All client-facing volunteers must submit 3 references (one pastoral, two peer or professional) as part of their application.

All administrative or cleaning volunteers must submit 2 (one pastoral, one peer/professional) as part of their application.

Email completed reference forms to our Volunteer Coordinator, [email protected], or mail a hard copy to our office:

Assist Pregnancy Center
Attn: Volunteer Coordinator
5101-D Backlick Road
Annandale, VA 22003

Volunteer Reference Form