"that is, that I may be encouraged together with you..."

Romans 1:12a

Please print out
application,
fill in and mail to:

Gilead Ministries
PO Box 134
Jonesboro, IN 46938

Volunteer Application
Please Print

Personal Information:
Name _______________________________________ Phone (_____)____-________

Address______________________________________________________________

City/State/Zip __________________________E-Mail Address ___________________

Emergency Contact _____________________ Phone of contact (____)____-_______

Birthdates_____/______/_____ Age_____ Social Security Number_____-_____-_____

Marital Status ___Single/ ___Married/ ___Divorced (How Long_____) / ____Widowed

Do you own a car? Yes / No If not, do you have transportation available? Yes / No

Employer______________________________________Phone(____)_____-________

Address_____________________________City/State/Zip_______________________

Have you ever been arrested? Yes / No If yes, explain___________________________

How is your health? ___Good ___Fair ___Poor

Have you had a recent death in your family? ___Yes / ___No / Who?_________________

Explain your thoughts about this loss at the present time _________________________

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List your interests, hobbies _________________________________________________

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Personal Spiritual Information:
Explain your salvation experience ____________________________________________

________________________________________________________________________

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What church do you attend__________________________________________________

How would you describe your attendance:
____Regular / ____Semi-Regular / ____Occasional

Pastor’s name and telephone _______________________________________________

Do you feel confident your pastor would recommend you to volunteer? ___ Yes / ___ No

What responsibilities do you have at church ____________________________________

________________________________________________________________________

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References:
Please list three persons we may contact who are not family members.

Name__________________________ Phone______________ Relation______________

Name__________________________ Phone______________ Relation______________

Name__________________________ Phone______________ Relation______________

Volunteer Options:
Check All That Apply

___ Cancer Ministry ___ Grief Ministry ___ Card Ministry ___ Light Housework

___ Hospital Visits ___ Fundraising ___ Yard Work ___ Phone Encouragement

___Mailers ___Office ___ Home Visits ___ Public Speaking

___Meal Preparation ___ Minor Home Repair ___ Church Recruitment

What other organizations do you volunteer with _________________________________

________________________________________________________________________

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How often do you volunteer with these organizations _____________________________

________________________________________________________________________

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Placement preference:

Check All That Apply

I can volunteer: __ Once a week / __ More than once a week / __ as needed / __ other

Please respond to these...

What attracted you to volunteer with Gilead Ministries?____________________________

_________________________________________________________________________

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What do you hope to experience or gain while volunteering here? __________________

_________________________________________________________________________

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What would make you feel you’ve been successful as a volunteer? __________________

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What type of supervision do you believe you will need as a volunteer? _______________

__________________________________________________________________________

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What skills or qualities do feel you could contribute to Gilead Ministries? _____________

__________________________________________________________________________

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What fears or uncertainties do you have about volunteering with Gilead Ministries? _____

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Statement of Faith

* We believe that Jesus Christ is the Son of God sent to earth in human form.

* We believe that the Bible is the inerrant Word of God.

* We believe that as a Christian, we are called to serve our fellow man as an agent of God’s love.

* We believe that the call to "love your neighbor as yourself" is to be for all mankind regardless of race, age or social standing.

* We believe in the unity of the believers in Christ.

* We believe all men have the choice of salvation through Jesus Christ and will share with others, when the opportunity arises, the Gospel

Mission Statement

"Gilead ministries provides support and encouragement through compassionate ministry to individuals and families coping with cancer, long term illness or grief"

I have read the attached statement of faith and mission statement and agree to abide by them. I agree to use my time as a volunteer to bring spiritual support to individuals in physical, emotional and spiritual struggle. I will not espouse any individual denominational stances, instead share the reality of salvation through Christ alone when I have the opportunity.

I understand that by applying for a volunteer position with Gilead, I waive any rights to confidentiality concerning the contents of this application and hereby authorize the officer(s) of Gilead Ministries to contact the personal references identified and to conduct a reasonable investigation into my suitability for volunteer ministry with dependent individuals. This includes a criminal background check.

Signature______________________________________________Date________________

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