Service Application Form
Please use this form to indicate your interest in serving as a Homefront Pioneer or in offering a Period of Service in the Atlantic region. Kindly add as much information as you are comfortable sharing with the Regional Bahá'í Council of the Atlantic States (RBC) and the Regional Training Institute Board (RTIB).

If you have any questions, please write to: service@rbcatlantic.org

** Please fill out one application form per person. **
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General Information
Full Name *
Kindly fill out one form per person.
Email *
Phone Number *
Bahá'í ID Number
Gender
Clear selection
Age Group *
Marital Status *
Children or Other Dependents (Names and Ages)
Name (Age), Name (Age)
Please provide your country of citizenship and if you are able to legally work in the USA without any sponsorship. *
Please provide details of your health insurance here
 *
Area of Study / Work or Professional Background *
Name of Current Local Community *
Name of Current Cluster *
How long can you serve for? *
When can you start your period of service if called?  *
MM
/
DD
/
YYYY
Experience in the Plan
What experience do you have with serving as a tutor? *
e.g., books that you have tutored, experience with accompanying a group of friends through several books, etc.
What experience do you have with serving as a junior youth animator? *
e.g., accompanying a group through certain books, assisting them to carry out service projects, strengthening bonds with their family, etc.
What experience do you have with serving as a children's class teacher? *
e.g., particular grades of the program that you've taught, strengthening bonds with their family, etc.
What experience do you have with hosting a regular devotional gathering or supporting others with theirs? *
e.g., starting and sustaining, inviting others beyond the immediate household/family, nurturing a spiritually uplifting environment, describe the community building process and inviting others' much needed contributions, tutoring and accompanying others with their devotional (or path of service)
Additional Service Activities *
Please select all that apply.  Kindly add additional experience, if not listed already.
Required
Have you ever served on a cluster- or regional-level agency before? *
Please select all that apply.  Kindly add additional experience, if not listed already.
Required
Do you have any prior experience with pioneering?
Please select all that apply.
Language(s) Spoken, Other Than English
Additional Notes and Comments
 Please share anything else that you feel is important or useful.
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