Volunteer Application
Love In the Name of Christ
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Personal Information
First Name *
Middle Name
Last Name *
Date of Birth *
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Prefix *
Street Address *
City *
Zip *
Home Phone Number *
Cell Phone Number
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Email Address
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Church Information and Reference
Church *
Other, Church Name & Denomination
Apostle's Creed and Confidentiality Statement
The 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.

Confidentiality Statement

I agree to take extreme care to protect the confidentiality of all individuals (clients, volunteers, staff, donors, etc.) and churches involved in the Love INC ministry.  I will hold any information obtained by me or to which I have access in the strictest confidence. I will not disclose or discuss information regarding any individual or church to anyone other than the appropriate Love INC personnel.
By electronically signing below, I affirm that I believe the Apostles' Creed and agree to abide by Love INC's Confidentiality Statement. *
Photography and Video Release
By electronically signing below, I agree to the use of my image in photographs, motion pictures or recordings taken by Love INC volunteers or staff for use in Love INC Ministry advertising, marketing or promotion. *
Release and Hold Harmless Agreement
I, the undersigned, hereby certify that my participation in volunteering for Love In the Name of Christ of the Heart of Florida (from this point referred to as Love INC HOF) at any of their ministry locations is entirely voluntary.  This Activity is purely for my personal enrichment and recreational benefit.

I understand and recognize that I am responsible for my own safety and well-being during my participation in the Activity.

I fully understand and appreciate the risks in participating in this Activity, which could include loss of life, serious loss of limb or loss of property.

To the best of my knowledge, I am not aware of any physical disability or health-related reasons which would preclude or restrict my participation in the Activity.  I further understand that any Love INC HOF personnel or agent(s) participating in the Activity are not necessarily medically trained to care for any physical or medical problems that may occur during this Activity.

NOW, THEREFORE, in consideration of being allowed to participate in the Activity, I agree to hold Love INC HOF, its Board of Directors, employees, agents and/or representatives harmless from any and all direct, indirect, special or consequential damages, costs, legal or otherwise, which I may incur as a result of my participation in this Activity, excepting only such damages and costs resulting from the gross negligence of Love INC HOF, its Board of Directors, employees, agents and/or representative.  This Release/Agreement shall be binding upon my heirs, administrators, executors, and assigns.
By electronically signing this release, I acknowledge and represent that I have read the foregoing Release/Agreement, understand it and sign it voluntarily; no oral representations, statements or inducements, apart from the foregoing written agreement, have been made; I am fully competent and I execute the Release/Agreement for full, adequate and complete consideration fully intending to be bound by the same. *
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