VOLUNTEER APPLICATION & CONFIDENTIALITY FORM

Volunteer Area of Interest
Areas (Check all that apply):

Food PantryResale StoreTransformational Ministry (Mentoring, Teaching, etc.)Other
Available volunteers days, times, and seasons:
Volunteer Ability Start Date:

MonthDayYear
Date

Apostle's Creed
I believe in God, the Father Almighty Creator of heaven and earth. I believe in Jesus Christ, His only Son, our Lord. He was conceived by the power of the Holy Spirit and born of the Virgin Mary. He suffered under Pontius Pilate, was crucified, died, and was buried. He descended to the dead.On the third day, He rose again. He ascended into Heaven, and is seated at the right hand of the Father. He will come again to judge the living and the dead.I believe in the Holy Spirit, the holy catholic Church, the communion of saints, the forgiveness of sins, the resurrection of the body, and the life everlasting.Amen

* The word ‘catholic’ refers to the universal church of the Lord Jesus Christ.
I Agree:*

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*For Those Interested in Volunteering in Transformational Ministry ONLY:

Criminal Background Check: Because volunteers may work with children or with financial accounts of clients in our Transformational Ministry Programs, Love INC does a criminal background check for everyone involved with the programs. Information needed for the background check is your name, date of birth, and consent.
Former Names Used:
I give permission for a background check:
Full Legal Name:

First NameMiddle NameLast Name
Signature

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Date

MonthDayYear
Date

Volunteer Confidentiality Agreement
I agree to protect the confidentiality of all individuals who have requested or have received assistance from Love In the Name of Christ of Newaygo County. I will not discuss or disclose information regarding any client to unauthorized persons outside of the Love INC sphere of service. In addition, I will not discuss or disclose information regarding any volunteer or staff member to persons outside the Love INC sphere of service without written permission to do so.

Confidential information includes, but is not limited to:

• Names

• Birthdates

• Social Security Information

• Addresses

• Telephone Numbers

• Financial Information

• Employment Information

• Legal Information

• Medical Information
Signature*

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Prayer requests for clients, volunteers, or staff members may be shared with your Bible study group or prayer group as long as all requests are kept on a first name/general information basis and the person asking for prayer has not specified otherwise.
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Personal Information