You are on page 1of 6

Look Listen Love Volunteer Application

Name: ____________________________ Permanent (Home) Address: _________________________________________ ________________________________________________________________ (City) (State) (Zip)

School Address (if applicable) : _________________________________________ ________________________________________________________________ (City) (State) (Zip) Which address is better to reach you? _______________________________ Home phone number: _________________ Cell phone number: ___________________ Preferred e-mail address: __________________ Best way to reach you: Home phone Cell phone E-mail Other: _____

Name of Parent(s): _____________________________________ Parent(s) Address (if different) : _________________________________________ ________________________________________________________________ (City) (State) (Zip)

Year in school (if applicable): ___ Freshman ___ Sophomore ___ Junior ___ Senior ___ Other:_______________ Birthdate: _______________________

SHORT-ANSWER QUESTIONS Please answer each of the following questions with honesty and as accurately as possible. Use additional paper if necessary. Please type or print neatly.

1. What role does the Gospel play in your life and do you think it is key in serving in foreign countries?

2. Describe three things that you are most passionate about.

3. List three of your strengths or positive qualities, and give an example of how these strengths and/or qualities are evident in your life. (i.e. how do others see these strengths in you?)

4. Please list and describe any experience you have with missions and/or international travel.

5. How would you feel about living in a township community, such as Ocean View?

6. Describe any previous ministry experience in: Fundraising

Media (Photography, Videography, Video Editing, Graphic Design)

Children (Camp counselor, VBS, Babysitting, Working in orphanages, etc.)

Any Leadership Roles inside or outside of the church

Music

Administrative Skills

7. How much time are you willing to commit to this trip? Are there any restrictions on when you could go?

8. What do you want to get out of your time here?

9. Do you have any medical/dietary needs we should know about?

10. Is there anything else you feel we should know about you?

Activity Release of Liability In exchange for participation in the activity of volunteering with Look Listen Love in Ocean View, South Africa, I agree for myself to the following: 5. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by the employees, representatives, or agents of Look Listen Love. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself, and further release and discharge Look Listen Love for injury, loss of damage arising out of my use of or presence upon the facilities of Look Listen Love, whether caused by the fault of myself, Look Listen Love, or other third parties. I agree to indemnify and defend Look Listen Love against all claims, causes of action, damages, judgements, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my use of or presence upon the facilities of Look Listen Love. 4. I agree to pay for all damages to the facilities of Look Listen Love caused by my negligent, reckless, or willful actions.

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS Dated: ___________________ Signature: _________________________ Participant Name: _____________________ In case of any emergency, please call ________________ (Relationship: ____________) at _________________ (phone number)