We realize that the questions below can bring up some very sensitive and personal issues and we want to emphasize that how you answer these questions will not be used against you. Your answers to these questions will not, in any way, prohibit your application from being considered. Due to the nature of this ministry, it is imperative that our lives reflect a life lived 'above reproach'. We like to gather as much information as possible, so that we can provide the best care to the ladies we love and serve. Please be open to sharing in detail during the interview, if necessary.

We only want to talk with you.  We do not want to embarrass or rebuke you, but share with you the HOPE we have in Christ.

Prayer is a vital part of our ministry. We try to seek the Lord in everything we do and ask that you have an army built around you of prayer warriors that are going to commit to praying for you and the women we serve.

Pick friends or family that you will share this ministry with and how God is moving to serve in this capacity. These people will be on your prayer team. Lifting you up in times of brokenness and praise.

Please list five people who will commit to praying for you.

One non-relative reference: Name:

I certify that my answers are true and complete to the best of knowledge.  I understand that entering this signature in this form online equates to my physical signature.

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The following are additional items to review and sign. 

These include some guidelines, waivers and expectations.  Please review and sign all items as directed by each form.

DISCLOSURE: THIS IS FULL RELEASE OF POTENTIAL CLAIMS TO BE COMPLETED BY THE VOLUNTEER. THIS FORM MUST BE SIGNED AND THE ORIGINAL RECEIVED BY HADASSAH’S HOPE PRIOR TO VOLUNTEERING.

HADASSHA’S HOPE IS COMMITTED TO CONDUCTING ITS ACTIVITIES IN THE SAFEST MANNER POSSIBLE AND HOLDS THE SAFETY OF ITS VOLUNTEERS IN THE HIGHEST REGARD. WE CONTINUALLY STRIVE TO REDUCE THE RISK OF INJURY AND INSIST THAT ALL VOLUNTEERS FOLLOW SAFETY RULES AND INSTRUCTIONS THAT HAVE BEEN DESIGNED TO PROTECT THEIR SAFETY.

IN THE EVENT OF AN ACCIDENT INVOLVING AN INJURY, PLEASE REPORT IT PROMPTLY TO THE STAFF OR OUTREACH LEAD. I UNDERSTAND AND ACKNOWLEDGE THAT HADASSAH'S HOPE DOES NOT CARRY ANY INSURANCE, AND I ACKNOWLEDGE THAT HADASSAH'S HOPE HAS ADVISED ME THAT HADASSAH'S HOPE DOES NOT ACCEPT ANY RESPONSIBILITY FOR ANY INJURY, LOSS OR DAMAGE TO MY PERSON. I FURTHER ACKNOWLEDGE THAT HADASSAH'S HOPE HAS RECOMMENDED THAT I CARRY OR OBTAIN PRIMARY MEDICAL INSURANCE TO COVER POSSIBLE MEDICAL NEEDS.

AS A VOLUNTEER, I RECOGNIZE THAT THERE ARE CERTAIN RISKS OF PHYSICAL INJURY AND AGREE TO ASSUME SUCH RISK AND ANY DAMAGE OR LOSS I MAY SUSTAIN AS A RESULT OF VOLUNTEERING FOR ANY AND ALL ACTIVITIES ASSOCIATED WITH HADASSAH’S HOPE. I FURTHER AGREE TO WAIVE AND RELEASE ALL CLAIMS I MAY HAVE AS A RESULT OF VOLUNTEERING AGAINST HADASSAH’S HOPE AND ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, AND OTHER VOLUNTEERS WITH WHOM I MAY BE WORKING.

IN THE EVENT OF AN EMERGENCY, I AUTHORIZE OFFICIALS OF HADASSAH’S HOPE TO SECURE FROM ANY LICENSED HOSPITAL, PHYSICIAN, AND/OR MEDICAL PERSONNEL ANY TREATMENT DEEMED NECESSARY FOR MY IMMEDIATE CARE AND AGREE THAT I WILL BE RESPONSIBLE FOR PAYMENT OF ANY AND ALL MEDICAL SERVICES.

I HAVE READ AND FULLY UNDERSTAND THE ABOVE WARNINGS OF RISK, PERMISSION TO SECURE EMERGENCY TREATMENT AND WAIVER AND RELEASE OF ALL CLAIMS AGAINST HADASSAH’S HOPE.

I FURTHER AGREE TO INDEMNIFY AND HOLD HARMLESS HADASSAH’S HOPE AND ITS OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES FROM ANY AND ALL CLAIMS RESULTING FROM INJURIES, DAMAGES AND LOSSES SUSTAINED BY ME OR ARISING OUT OF, CONNECTED WITH, OR IN ANY WAY ASSOCIATED WITH THE ACTIVITIES OF HADASSAH'S HOPE.

THE VOLUNTEER DOES HEREBY GRANT AND CONVEY UNTO HADASSAH’S HOPE ALL RIGHT, TITLE AND INTEREST IN ANY AND ALL PHOTOGRAPHIC IMAGES AND VIDEO OR AUDIO RECORDINGS MADE BY HADASSAH'S HOPE DURING THE VOLUNTEER’S WORK FOR HADASSAH'S HOPE, INCLUDING, BUT NOT LIMITED TO, ANY ROYALTIES, PROCEEDS, OR OTHER BENEFITS DERIVED FROM SUCH PHOTOGRAPHS OR RECORDINGS.

IN CONSIDERATION OF MY BEING ACCEPTED BY HADASSAH'S HOPE FOR PARTICIPATION IN OUTREACH, I MAKE THE REPRESENTATIONS AND UNDERTAKINGS SET OUT BELOW:

IN CONSIDERATION OF MY BEING PERMITTED TO PARTICIPATE AS A MEMBER OF A HADASSAH'S HOPE OUTREACH AS MENTIONED ABOVE: (PLEASE INITIAL EACH PARAGRAPH)

I ACCEPT AND ASSUME ALL RISKS AND HAZARDS FROM THIS ACTIVITY, BOTH KNOWN AND UNKNOWN, INCLUDING BUT NOT LIMITED TO THE RISKS AND HAZARDS IDENTIFIED ABOVE.

I HEREBY VOLUNTARILY RELEASE, FOREVER DISCHARGE, AND AGREE TO HOLD

HARMLESS AND INDEMNIFY Hadassah's Hope, ITS DIRECTORS, OFFICERS, AGENTS,

EMPLOYEES, COORDINATORS, FACILITATORS, VOLUNTEERS, AND OTHER TEAM MEMBERS FROM ANY AND ALL LIABILITY, CLAIMS, DEMANDS, ACTIONS OR RIGHTS OF ACTIONS, WHICH ARE RELATED TO, ARISE OUT OF, OR ARE IN ANY WAY CONNECTED WITH MY PARTICIPATION IN THIS ACTIVITY, WHICH I NOW HAVE OR MAY HAVE IN THE FUTURE, SPECIFICALLY INCLUDING BUT NOT LIMITED TO THE NEGLIGENT ACTS OR OMISSIONS OF ANY PERSON SO RELEASED, HELD HARMLESS AND INDEMNIFIED, AND SPECIFICALLY INCLUDING CLAIMS RELATING TO ANY PERSONAL INJURY THAT I MAY SUFFER, WITH EXCEPTION TO GROSS NEGLIGENCE.

I AGREE THAT I WILL NOT MAKE A CLAIM, FILE SUIT OR DEMAND ANYTHING FOR ANY INJURY, DEATH OR LOSS THAT ARISES FROM MY PARTICIPATION IN THIS ACTIVITY.

I AGREE TO PAY THE COSTS AND/OR LEGAL EXPENSES INCURRED BY THE STAFF, ORGANIZERS AND/OR PARTICIPANTS AS A RESULT OF ANY CLAIM OR SUIT FILED BY ME, OR FILED BY ANYONE ELSE AS A RESULT OF MY CONDUCT.

I CONSENT AND AGREE TO PAY FOR ANY MEDICAL TREATMENT RENDERED TO ME BY ANYONE FOR ANY INJURY OR OTHER MEDICAL SITUATION DURING, OR RESULTING FROM MY PARTICIPATION.

I AGREE THAT THESE PROMISES, AGREEMENTS, ASSUMPTIONS OF RISK AND RELEASES BIND ME, MY FAMILY, AND MY HEIRS OR LEGAL REPRESENTATIVES AND ASSIGNS.

I HAVE READ THIS RELEASE CAREFULLY, INCLUDING THIS PAGE AND THE PRIOR PAGES. I AM FULLY AWARE THAT I AM WAIVING IMPORTANT LEGAL RIGHTS AND SIGN OF MY OWN FREE WILL.

IF YOU ARE UNDER THE AGE OF 18, YOUR PARENT/GUARDIAN MUST READ AND SIGN THIS FORM.

In Consideration of being allowed to participate in any way in Hadassah’s Hope Ministry and Outreach activities and events, the undersigned acknowledges, appreciates and agrees that:

1. The risks of illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this ministry are significant, including potential sickness and in some instances death. Access to others where medical status is unknown presents possible risks. Even with using cautionary measures such as masks, gloves, handwashing and alcohol-based wipes and liquids, the risks of serious illness may exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES of others, and assume full responsibility for my participation;

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard or behaviors during my presence or participation, I will remove myself from participation and bring such to the attention of the Outreach Team Leader, assigned Rope Holder, and others as deemed appropriate; and,

4. I, for myself and on behalf of my heirs, assigned personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Hadassah’s Hope Inc., the CEO, the Board of Directors, agents, representatives and/or employees, other volunteers and/or participants, sponsoring churches, sponsoring businesses, advertisers and any/all third party individuals involved in and/or supporting the ministry, club owners, club employees, any/all third party individuals supporting visited clubs or other locations, and if applicable, owners and lessors of premises used to conduct the event (“RELEASES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WITHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

SECTION 1:  WE BELIEVE THE BIBLE IS THE INSPIRED WORD OF GOD.  The Old and New Testaments, in their entirety, constitute the written Word of God and are without error in the original manuscripts.  They are written by men, through the inspiration of the Holy Spirit, and therefore fully authorative in all matters for the follower of Christ.  (2 Tim 3:16; 2 Pet 1:21; Prov. 30:5; John 17:17)

SECTION 2: WE BELIEVE THAT GOD EXISTS ETERNALLY IN TRINITY:  FATHER, SON AND HOLY SPIRIT. There is one God, infinite, eternal, and unchangeable in His being, wisdom, power, holiness, love, justice, goodness, and truth, eternally existing in three persons: Father, Son, and Holy Spirit, who desires that we should know Him intimately and live a life of fulfillment through the pursuit of His glory. (John 1:1-2; Matt. 28:19; 1 Cor. 12:4-6; Jude 20-21)

SECTION 3: WE BELIEVE THAT JESUS CHRIST LIVED A SINLESS LIFE, DIED ON A CROSS, WAS BURIED, AND ROSE FROM THE GRAVE TO REDEEM SINFUL HUMANITY. Jesus is the one True God, begotten, not made. He became human, conceived by the Holy Spirit, born of the virgin Mary, and made His dwelling among us, living a full life without sin. His perfect life and death on the cross provide the only atonement that satisfies the righteous requirements of God for the sinner. The death of Jesus Christ fully and finally paid for sin, and was redemptive, substitutionary, and efficacious. The historic fact of Jesus Christ’s resurrection from the dead testifies powerfully to His deity and is itself humanity’s ultimate hope. Jesus Christ will make a personal and imminent return to the earth; this return is a sanctifying “hope” having vital bearing on the life of every Christian. (Matt. 1:18; 2 Cor. 5:21; Heb. 4:15; Mark 15:24; Mark 16:1-8; Heb. 9:26; Col. 1:13; Rom. 3:23-26)

SECTION 4:  WE BELIEVE THAT THE HOLY SPIRIT TRANSFORMS HEARTS AND MINDS TO LIVE ACCORDING TO THE NAME OF JESUS. WE BELIEVE THAT AS A CHRIST FOLLOWER WE ARE TO BE BAPTIZED IN THE NAME OF THE FATHER, SON AND HOLY SPIRIT. The Holy Spirit bears persuasive testimony to the realities of Jesus Christ. The Holy Spirit is the personal, divine third member of the Godhead. He convicts the world of sin and its consequences; He brings repentance and faith to the believer; He indwells the believer with the radical life of Jesus Christ; He gives gifts to every believer for mutual service within the body of Christ; He unites each believer in the Body of Christ and seals them in that relationship; He bears the fruit of Christian character in the lives of every believer; He guides, instructs, and empowers the believer for godly living and service. He is worshipped with the Father and the Son. (2 Cor. 3:18; Eph. 1:13; Acts 1:8; Acts 2:38; Acts 2:41; Matt. 28:19)

SECTION 5:  WE BELIEVE ALL HUMANS ARE SINFUL AND IN NEED OF SALVATION.  SALVATION IS THE GIFT OF GOD BROUGHT TO HUMANS BY GRACE ALONE AND RECEIVED IN FAITH IN THE LORD JESUS CHRIST.  God has created every person in the image of God, but have fall into sin, and are therefore lost. Only through the regeneration by the Holy Spirit, can we obtain salvation and spiritual life.  All humans are sinners and face the judgement of God.  The shed blood of Jesus Christ and His resurection provide the only ground for justification and only those who place faith in Jesus Christ and initiate a relationship with God on the basis of the work of Christ are delivered from the wrath of God toward sin required by His holy character.  Those who receive Jesus Christ by faith are said by the Holy Scripture to be justified, regenterated, redeemed, and adopted into the divine family as co-heirs with Christ of all the blessings of the Godhead.  We proclaim that all persons must consciously repent of their sins and confess that Jesus Christ is Savior and Lord.  (Rom 3:23; Rom 3:12; Acts 4:12; I Thes. 5:9; Tutus 2:11; Eph 2:8; Rom 3:25; Rom 5:1)

SECTION 6: WE BELIEVE THAT GOD HAS CREATED ALL HUMANS IN HIS IMAGE. HE HAS CREATED THEM UNIQUELY FEMALE AND MALE. All humans are created in God’s image; therefore, all human life is sacred. In creating humans as male and female, God communicated His image in harmonious interpersonal relationships, equality of personhood and importance and a distinction in role and authority. (Gen. 1:27; Eph. 5:21-33; Col. 3:18-19; Titus 1:6; 1 Tim. 2:11-15; 1 Tim. 3:2; 1 Cor. 14:33 35)

SECTION 7:  WE BELIEVE THAT THE CHURCH IS A SPIRITUAL BODY MADE UP OF ALL BELIEVERS EVERYWHERE FOR ALL TIME. All Christians in all times and in all places have been united into a single body by God’s design. This resultant union is called the Body of Christ. (Eph. 1:22-23; Eph. 5:25; John 10:16; Eph. 4:11-13; 1 Cor. 12:12-30)

SECTION 8: WE BELIEVE IN THE LOCAL CHURCH. Christ commanded that all Christians band together in assembly for instruction, worship, service, and fellowship. These assemblies are called local churches. Hadassah’s Hope is not a local church. We are Christ followers that are serving together and sharing the Gospel with our community. Everyone that serves at Hadassah’s Hope must be a member of a local church. The people that we meet through Hadassah’s Hope are directed to one of several local churches that we have a good relationship with and encouraged to become active members. (Eph. 5:16-19; Col. 1:28; Acts 2:42-47)

SECTION 9:  WE BELIEVE THAT JESUS WILL RETURN TO EARTH TO JUDGE ALL PEOPLE AND TO RULE AND REIGN WITH HIS SAINTS FOREVER. All people will be resurrected to give account of their lives before God. The believer in Christ will be resurrected to everlasting blessedness and joy in the presence of God. The unbeliever will be resurrected to judgment and everlasting conscious punishment. (Titus 2:12-13; Phil. 3:20; Matt. 24:44; Matt. 25:21; 1 Thes. 4:15-18; Acts 17:30-31; Rom. 2:5-7; Rom. 14:10-12; 2 Cor. 5:10)

Section 10. WE BELIEVE THAT GOD WONDERFULLY AND IMMUTABLY CREATES EACH PERSON AS MALE OR FEMALE. We believe that God wonderfully and immutably creates each person as male or female. These two distinct, complementary genders together reflect the image and nature of God. (Gen. 1:26-27 Rejection of one’s biological sex is a rejection of the image of God within that person. We believe that the term ‘marriage’ has only one meaning: the uniting of one man and one woman in a single, exclusive union, as delineated in Scripture (Gen 2:18-25 We believe that God intends sexual intimacy to occur only between a man and a woman who are married to each other. (1 Cor 6:18; 7:2-5; Heb 13:4 We believe that any form of sexual immorality (including but not limited to adultery, fornication, homosexual behavior, bisexual behavior, polygamy, bestiality, incest, and use of pornography) is sinful and offensive to God (Matt 15:18-20; 1 Cor 6:9-10 We believe that God offers redemption and restoration to all who confess and forsake their sin, seeking His mercy and forgiveness through Jesus Christ. (Acts 3:19-21; Rom 10:9-10; 1 Cor 6:9-11). We believe that every person must be afforded compassion, love, kindness, respect, and dignity (Mark 12:28-31; Luke 6:31 Demeaning, harassing behavior or attitudes directed toward any individual are to be repudiated and are not in accordance with Scripture.

SECTION 11: WE BELIEVE ALL PERSONS ARE CREATED IN THE IMAGE OF GOD GIVINGTHEM INTRINSIC DIGNITY REGARDLESS OF ETHNICITY OR GENDER. Christians, through the local church, are then called to serve the needs of the poor and marginalized by building a culture of dignity through sharing the gospel and providing for basic material needs while preventing the damage to human dignity that comes through paternalism. We believe that all human life is sacred and created by God in His image. Human life is of inestimable worth, including pre-born babies, the aged, the physically or mentally challenged, and every other stage or condition from conception through natural death. We are therefore called to defend, protect, and value all human life. A failure to do so would be a sin.

SECTION 12: WE BELIEVE THIS STATEMENT OF FAITH DOES NOT EXHAUST THEEXTENT OF OUR BELIEFS. The Bible itself, as the inspired, inerrant, and infallible Word of God that speaks with final authority concerning truth, morality and the proper conduct of mankind, is the sole and final source of all that we believe. For purposes of HH’s faith, doctrine, practice, policy and discipline, our board of trustees is HH’s final interpretative authority on the Bible’s meaning and application.

SECTION 13: WE BELIEVE TO LOVE ASPECTS OF THE CREATION MORE THAN THE CREATOR IS ONE OF THE FOUNDATIONAL ELEMENTS OF SIN. We further believe this love of the creation can be reflected in experiences and behaviors that can be described as addictions. When this happens, a combination of interventions (to include but not limited to counseling and medical care) can assist in breaking the behaviors, but ultimately what is needed is a change of heart where the love of Jesus Christ is raised to the person’s highest priority. Ultimately, we believe this love of Christ through the redemptive power of the gospel is the only thing that can free a person from any cycle of addictions. We believe principal concerns for those who are trying to break out of a cycle of poverty and deprivation are the use of intoxicating substances, illicit drugs, and pornography. Regardless of the legality of their use or Christian liberty, when anything prevents a Christian from keeping Jesus Christ as the heart’s highest priority that object must be put aside for the sake of the pursuit of holiness and a growing desire to see God glorified through the life of the believer. Therefore, we exist to help individuals who desire to break sinful addictive practices, and to help teach, nurture, and foster a biblical stewardship of worldly resources as both a means of self-sufficiency and an act of worship.

Confidentiality is central to the work we do.  As a volunteer for the Outreach Team, I recognize that I have access to highly sensitive and personal information regarding the lives of the women being served by the ministry. In order to maintain an attitude of protectiveness, I agree to bebound by confidentiality.

I agree not to share personal information for any individual outside of the ministry efforts for Hadassah's Hope. Violation of this policy could potentially betray the trust of the very people I am here to minister to and may result in my being asked to step down from serving.

TO PROVIDE THE BEST EXPERIENCE AND TO MAINTAIN ONGOING MINISTRY OPPORTUNITIES AND RELATIONSHIPS, ALL VOLUNTEERS AGREE TO THE FOLLOWING: (Please read and then check each box to acknowledge that you agree.)

I understand that in the event that my personal conduct or behavior is deemed a violation of the Code of Conduct to the degree that the success of the outreach is jeapordized, immediate dismissal and departure may be initiated by a Team Leader, Team Member or CEO of Hadassah's Hope staff.

Hadassah’s Hope Inc. Revised 04/2020

AFTER CLICKING SUBMIT YOU WILL BE ROUTED TO A THIRD-PARTY CALLED VIGILANT TO PURCHASE & SUBMIT YOUR REQUIRED BACKGROUND CHECK.