Volunteer – Love Inc GHC

Name *

First

Last

Birthdate

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Emergency Contact

Name *

First

Last

Phone

Relationship

Church

Name *

First

Last

Denomination *

Pastor’s or Church Leader’s Name

Phone

Church Involvement and Volunteer Experience

Special Interest/Passion/Skills/Experience*

Occupation

Education, Training, Skills, and Experience

Disclosure Agreement *

I agree

I will protect the confidentiality at all times of all individuals – whether client, volunteer, staff, donor, or any other critical information related to the service of the Love INC ministry. I agree that I will not disclose or discuss information regarding any client, or details regarding a client or church, to anyone other than the appropriate Love INC personnel. I will not be involved in gossip or negative conversation that could reflect badly on the ministry of Love INC or on those who are serving or being served.

Statement of Faith *

Yes
No

I believe in God the Father, Jesus Christ, His only Son, and the power of the Holy Spirit. I believe the Bible to be the inspired word of God. I believe that salvation comes by accepting Jesus Christ as my personal Lord and Savior.

Photo/Video Release Permission *

I agree

I hereby grant Love INC permission to publish photographs/videos taken of me for editorial, advertising, and promotional purposes for use in any print or electronic media. I agree that Love INC will own the copyright to these materials.

Check the box if you have been a client of Love INC *

Yes

References

List two people familiar with your capabilities and faith. Do not list relatives

Name *

First

Last

Relationship

Phone

Name *

First

Last

Relationship

Phone

Volunteer Opportunities

Check all that interest you. Please see Volunteer Opportunities for more information

Service Areas of Interest *