| Name |
|
| Address |
|
| City |
|
| State |
|
| Zip
code |
|
| Home
phone |
|
| Birth
date |
|
| Email |
|
| Marital
status |
|
| Sex |
|
| Languages
spoken |
|
| Language
proficiency |
|
| Education |
|
| College/University |
|
| Seminary |
|
| Preferred
area of service |
|
| Vocational
qualifications |
|
| Other
skills and talents |
|
| When
can you serve? |
|
| Where
do you want to serve? |
|
| Do
you have a camper or trailer? |
|
| Do
you have medical insurance? |
|
| Church
name |
|
| Church
phone |
|
| Church
address |
|
| City |
|
| State |
|
| Zip
code |
|
| Pastor's
name |
|
| How
long have you been a member? |
|
| Will
you need housing? |
|
| Type
of housing preferred |
|
Responsibility
Release:
If
I accept a term of volunteer service, I wish to
make it clear that I will not expect any organization
with which I may work or be associated to be responsible
or liable to me for any loss or damage to my property;
any personal injury or illness; or any other injuries
or damage I may suffer; and in consideration of
my admission to volunteer service, and for other
good and valuable consideration, on behalf of
myself, my heirs, executors, administrators and
assigns, I hereby release the Florida Baptist
Convention, the Southern Baptist Convention and
its related agencies, any local Association, and
any employee of the foregoing organizations, from
any and all such claims or demands. |
|
For
further information, contact Dennis
Wilbanks by e-mail or
phone at 1-800-226-8584, extension 3134.
|
