look listen love application

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    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: _______________________

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    SHORT-ANSWER QUESTIONS

    Please answer each of the following questions with honesty and as accurately aspossible. 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 inforeign countries?

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

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

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

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

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    6. Describe any previous ministry experience in:

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

    Children (Camp counselor, VBS, Babysitting, Working inorphanages, 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 onwhen you could go?

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    Activity Release of Liability

    In exchange for participation in the activity of volunteering with Look Listen Love in OceanView, 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 oralinstructions or directions given by the employees, representatives, or agents of Look ListenLove.

    I recognize that there are certain inherent risks associated with the above described activityand I assume full responsibility for personal injury to myself, and further release anddischarge 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 ListenLove, 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 LEGALRIGHTS

    Dated: ___________________

    Signature: _________________________

    Participant Name: _____________________

    In case of any emergency, please call ________________ (Relationship: ____________) at

    _________________ (phone number)