Volunteer application form - Mission Travel

FOREIGN VOLUNTEER APPLICATION FORM AND INFORMATIONThank you for your enquiry regarding the possibility of serving at Living Hope! We seek to share the Good Newsabout Jesus Christ through the various programs we offer. We would encourage you to visit our website atwww.livinghope.co.za to find out more about us.We recommend a minimum of 3 months service time here, but many have successfully served for shorter periods.We do, however, have a 30-day minimum service time guideline for all volunteers. In order to be effective in theministry to which God has called you, time must be allowed for you to properly assimilate into the local culture.Accommodation and transportation needs are the responsibility of the individual volunteer. Living Hope workshand in hand with ACTS (African Christian Tours and Safaris), who may be able to provide a service to arrange anyor all of the following for the first few months: safe and suitable accommodation, reliable transportation and wellpreparedmeals. For more information, please contact Charl Ackermann at charl@africanencounter.org.Please note that Doctors, Dentists, Nurses and professional Counselors need to be registered with the SouthAfrican Medical & Dental Council in order to practice in South Africa. This process can take some months, but wehave a system in-place to make this as simple as possible. However, social workers, nurses, physical therapists,and some others can work at Living Hope under the direct supervision of our resident professionals.We do not have a children’s home or orphanage. Our work with children is to instill life skills and biblical valuesinto their lives, to help children make good choices in life, and to protect them from becoming victims of HIV &Aids. In the case of orphaned children, we make every attempt to find extended family for the children. If this isnot possible, our social worker will endeavour to place them with a family in the community.Please complete the application form to the best of your ability. Ultimately our goal is for you to come with adesire to serve our Father through our ministry in whatever area there is a need.PLEASE NOTE THAT INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. USE THE CHECKLIST BELOW TOENSURE THAT YOUR APPLICATION IS COMPLETE:Completed application form with signed Statement of Faith and signed Indemnity FormSigned “Employee/Volunteer Compliance Document”Two reference letters (one from your pastor or church leader)Police clearance letter (see details^ below)A recent color photo of yourself (it does not need to be a passport photo)^ Due to the increasing volume of international crime, all volunteers working with children are required topresent a police clearance letter along with their application for consideration. This letter can usually beobtained from your local or state police headquarters. Please scan the letter and email it with your application.Please email all documents to tim@livinghope.co.za. Note that a completed form cannot be saved in AcrobatReader. However, you can “print” the form as a new file using a PDF Printer. Go to www.bullzip.com to downloada PDF Printer for free. Otherwise, you can physically print the completed document, then scan and email it.We look forward to receiving your application!His,Tim HoffmanVolunteer CoordinatorPhone: +27 (0) 21 784 2837Email: tim@livinghope.co.za1

LIVING HOPE – FOREIGN VOLUNTEER APPLICATION FORMPlease complete each field. Where applicable, indicate “N/A” or “None”First Name: ________________________________ Surname: _____________________________________What you like to be called (name you go by): __________________________________Date of birth: ____/____/______ Male or Female: ___ Marital status: ____ Passport #: ____________________dd mm yyyy (Single/Married/Divorced) Check here if you do not have one.Mailing Address: ______________________________________Street & House/Apt #________________________________City_______________________________________ _______________ _________________________State/Province Zip/Post Code COUNTRYCell Phone: ___________________________ E-mail: _____________________________________________Proposed volunteer period: Arrival: _______________________ Departure: _______________________Day / Month / YearDay / Month / YearEXPERIENCEList any missions experience you have had. List organizations, countries, dates, and types of ministry:Began FinishedOrganization & Country Description of Mission (mo/year): (mo/year):______________________________ ______________________________________ ___ /_____ ___ /___________________________________ ______________________________________ ___ /_____ ___ /___________________________________ ______________________________________ ___ /_____ ___ /___________________________________ ______________________________________ ___ /_____ ___ /_____List any other formal ministry experience (cross-cultural or otherwise) that you've had in a church or otherorganization and any leadership positions you have held:Began FinishedOrganization & Country Position(s) held (mo/year): (mo/year):______________________________ ______________________________________ ___ /_____ ___ /___________________________________ ______________________________________ ___ /_____ ___ /___________________________________ ______________________________________ ___ /_____ ___ /_____What would others say is your strongest quality? Why?____________________________________________________________________________________________What would others say is your weakest quality? Why?_____________________________________________________________________________________________2

When do you find it difficult to submit to others?_____________________________________________________________________________________________Do you play a musical instrument or sing? ______ Which instrument(s)? ________________________________Would you like to lead worship at times while you are here? __________________________________________What is your current occupation and how long have you worked there?_______________________________ ________________________________ _____ ______Organization Position Years MonthsBriefly describe your career history and tell us how this relates to your ministry.Organization Position(s) held Began Finished(mo/year): (mo/year):______________________________ ______________________________________ ___ /_____ ___ /___________________________________ ______________________________________ ___ /_____ ___ /___________________________________ ______________________________________ ___ /_____ ___ /_____PERSONALHow did you hear about Living Hope? _____________________________________________________________How long have you been a Christian? Less than 6 Months 1-2 Years 2-5 Years(check one) 5-10 Years Over 10 YearsBriefly describe how your life was changed when you became a Christian, and your relationship with the LORDat this time._____________________________________________________________________________________________3

Describe your personal “statement of faith”. What do you believe?_____________________________________________________________________________________________Do you feel specifically called to South Africa? Explain._____________________________________________________________________________________________Explain how and why you feel God is calling you to be part of Living Hope. Include how you believe LH can helpyou reach your goals and how you can help fulfill the vision and mission of LH._____________________________________________________________________________________________In what area of ministry would you specifically like to get involved? How do you see yourself fitting in?_____________________________________________________________________________________________4

Please give a brief overview of your personal history: where you grew up, childhood experiences, how theseaffect you now._____________________________________________________________________________________________What is your highest level of education completed? (check one) Still Attending High School High School Diploma Some College College Degree Some Post College MastersPlease list any post high-school institutions attended and degrees attained.Institution Degree(s) obtained Began Completed(mo/year): (mo/year):______________________________ ______________________________________ ___ /_____ ___ /___________________________________ ______________________________________ ___ /_____ ___ /___________________________________ ______________________________________ ___ /_____ ___ /_____What church do you currently attend and how long have you been there?_______________________________Church Name_____________________________________________________Church address_______________________ ______________________ ______________________________________Month/Year began attending Church Phone Name of Senior PastorDescribe your involvement in this church.____________________________________________________________________________________________5

Describe your personal church history (various ones you attended, why you switched, etc.)Church Name From To Reason(s) Left / Moved(mo/year): (mo/year):______________________________ ___ /_____ ___ /_____ ____________________________________________________________ ___ /_____ ___ /_____ ____________________________________________________________ ___ /_____ ___ /_____ ____________________________________________________________ ___ /_____ ___ /_____ ______________________________BACKGROUNDIf you answer “Yes” to any of the questions below, please describe how you are involved and/or dealing withthese issues now, and what impact they have had on your spiritual life. Please give an explanation below.Answering “Yes” does not mean that you won't be accepted.Have you ever...Been suspended from school?_______Served time in a detention centre or jail? _______Been convicted of a crime?_______Been involved with tobacco products? _______Do you drink alcohol?_______Are you addicted to drugs or prescription meds? _______Been involved with gang-related activities? _______Been involved with the occult?_______Been involved in homosexual activities? _______If you answered “Yes” to any of the questions above please explain below:_____________________________________________________________________________________________Parental/Guardian Information TO BE COMPLETED IF YOU ARE UNDER 18 YEARS OF AGEPlease enter the following information about a parent or guardian in case we need to contact them. Since you areunder 18, we need to get permission from your parents before your application can be considered.Parent/Guardian Full Name: ____________________________________________________________________Email: _______________________________________________Phone: ___________________________How do your parents feel about you coming on this trip?_____________________________________________________________________________________________Describe your relationship with your parents.6

REFERENCE INFORMATIONPlease list four people we can contact as references. One must be your pastor. Others can include a friend,employer, and/or a person who has been or is currently in leadership over you. Include their name,position/relationship to you, phone number, and email address. Please submit with your completed applicationat least two (2) letters of reference from these people – one of which must be from your pastor.Name Relation to You Phone # Email Address__________________________ ________________ _________________ _____________________________________________________ ________________ _________________ _____________________________________________________ ________________ _________________ _____________________________________________________ ________________ _________________ ___________________________APPLICATION COMMITMENT FORMI ___________________________________ hereby commit myself to serving with Living Hope (should myapplication be accepted) in whichever area I am designated by Management. I understand that I am a volunteerand that I will not be receiving any financial reimbursement or any other compensation for the work that I dowhile at Living Hope. I commit myself to abide by the policies and procedures of Living Hope and to the mission,vision, aims and objectives of the organization.________________________________ _____________________________ ___________________Name Signature Date8

Tel: +27 (0)21 784 2800 | Fax: +27 (0) 21 785 2414 | PO Box Sun Valley 7985| NPO 012-587| Email: office@livinghope.co.zaVOLUNTEER AGREEMENT – STATEMENT OF FAITHI, ___________________________________________________________ the undersigned,(print your name)a volunteer for Living Hope do hereby acknowledge that Living Hope is a Christian faith-based organisation andfurther acknowledge that the statement of faith detailed below is the basic declaration of the beliefs agreed toand held by this ministry. I agree that I will in no way, whether by word or deed, do anything contrary to or inopposition to this statement of faith while I am engaged in any activity associated with Living Hope as a volunteer.Any violation of this agreement will result in my immediate disassociation from Living Hope as a volunteer.Statement of FaithWe believe in the Triune God, the Father, the Son, and the Holy Spirit. We believe that the Bible isinspired by the Holy Spirit in all its statements.Therefore we confess:• God the Father is creator and preserver of all.• Jesus Christ, true man and true God, is the Son of God. He is born of the virgin Mary and He hassubstitutionarily shed His blood on the cross for the sins of the whole world. He is bodilyresurrected and has returned into the glory of God. He sits at the right hand of God and willmanifestly return.• God has sent His Holy Spirit into the world, so that He might open the eyes of man in respect ofsin, and of righteousness and of judgment and that He may reveal the whole divine truth toGod’s redeemed.• Human nature is sinful. Only owing to redemption through the blood of Jesus can man byconversion and him being born again be justified before God.• The redeemed will rise from the dead in glory to eternal life; those who are not redeemed willpass into everlasting destruction.• All those who are born-again constitute the Church, the “Body of Christ”.• For the Church missionary command of Jesus is valid and binding: “Go therefore to all nationsand make disciples, baptizing them in the name of the Father, and of the Son, and of the HolySpirit: teaching them to observe all things I have commanded you”. (Matthew 28: 19-20)SIGNED _________________________________________DATE_____________________dd/mm/yyyy9

Tel: +27 (0)21 784 2800 | Fax: +27 (0) 21 785 2414 | PO Box Sun Valley 7985| NPO 012-587| Email: office@livinghope.co.zaVOLUNTEER WORKER INDEMNITY FORMI, _______________________________________________ the undersigned, a volunteer for Living Hope,(print your name)do hereby acknowledge and confirm that:I, my heirs, executors or assigns, indemnify and hold harmless Living Hope, its trustees, officers,employees, and partners against any injury, illness, harm, loss, consequential loss, damage or damages ofwhatsoever nature that I may sustain or suffer as a result of my decision to do volunteer work withinLiving Hope Trust as set out above, and arising out of any cause whatsoever nature, including but notlimited to negligence, and howsoever arising.SIGNED _________________________________________DATE_____________________dd/mm/yyyyIf voluntary worker is under 18 (eighteen) years of age, this Indemnity is also to be signed by the individual’sparent or natural legal guardian.PARENT/NATURAL GUARDIAN SIGNED _______________________________DATE_________________dd/mm/yyyy10

Tel: +27 (0)21 784 2800 | Fax: +27 (0) 21 785 2414 | PO Box Sun Valley 7985| NPO 012-587| Email: office@livinghope.co.zaEMPLOYEE/VOLUNTEER COMPLIANCE DOCUMENTI,_______________________________ as a responsible Employee/Volunteer will ensure that therequirements of the Act and regulation, Disaster Management & Security are complied with.Employees/volunteers have a responsibility to take care to protect their own health and safety and toavoid adversely affecting the health and safety of any other person. Employees/volunteers have aresponsibility to:• Report any incident or hazard at work to their manager or supervisor.• Carry out their roles and responsibilities as detailed in the relevant health and safety, disastermanagement and security policies and procedures.• Obey any reasonable instruction aimed at protecting their health and safety, disastermanagement and protection of LHCC’s property, while at work.• Assist in the identification of hazards, the assessment of risks and the implementation of riskcontrol measures.• Consider and provide feedback on matters which may affect their health and safety, disastermanagement and the protection of the relevant facility.• Ensure that they are not affected by alcohol or any drug, to endanger their own or any otherpersons’ health and safety, impede disaster management or the protection of the facility.I, ____________________________________ understand my responsibilities as detailed above andconfirm my acceptance.SIGNED _________________________________________ DATE_____________________dd/mm/yyyy11