Volunteer Application

Basic EducationHigh SchoolUniversityMBAPHD

CURRENT EMPLOYER (if applicable)


Please list three people who know you well and can attest to your character, skills, and dependability. Include your current or last employer.

Name/ Organization Relationship to you Length of relationship Phone number

Please provide three references from: Employer, former employer, co-worker, friend or relative (If volunteering in the past, please list one volunteer organization)

Certification and Acknowledgment
I certify that all information submitted in this volunteer application, or in my resume, interview, or other information is true and complete and that I have not knowingly withheld any information that would affect my application to volunteer at Haitian Mission Par La Foi, Inc. I understand that due to the confidentiality of donor records all volunteers can have a criminal history background check. I give permission at any time for this background check to occur and understand that this will remain confidential. In addition I give permission for two to three reference checks to be complete on behalf of Haitian Mission Par La Foi, Inc.
[radio* certify default:1 "Yes" "No"]

Contact us

Physical Address:
2227 22nd Street SouthSt. Petersburg, FL 33712

Mailing Address:
P.O. Box 531483
St. Petersburg, FL 33747
Email: parlafoi@aol.com

Office Numbers:
(727) 823-5394
(727) 543-0867
Please contact Marlene Berthelot Executive Dr.

Office in Haiti:
Please contact Rev. Marie Jessie A. Pierre. Adm.