Legacy Retreat® Volunteer Application

Legacy Retreat® Volunteer Application

1. PERSONAL INFORMATION
First Name*
Please enter your first name.

Last Name*
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Gender*
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Birth Date*
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Street Address*
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City*
Please enter your city.

State/Province*
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ZIP Code*
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Email Address*
Please let us know your email address.

Primary Phone Number*
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Other Phone Number
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T-Shirt Size*
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Have you served in a ministry event before?*
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If "yes," please tell us about it:
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In what ways do you currently serve in your church, school, or community?*
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Remembering that this is a ministry event, please explain why you would like to volunteer for our Legacy Retreat®, what personal goals you have for this retreat, and what spiritual gifts and talents you have that you believe will bless the families we will be serving.
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Inheritance of Hope is a faith-based organization serving under the core beliefs of the Christian faith while welcoming families of all faiths and backgrounds. Our beliefs are outlined as follows: • We believe that true hope in the midst of a crisis like that of a parent’s terminal illness can only be found in the promise of eternal life found in repentance and acceptance of the gift of Jesus Christ’s death and resurrection. This is our eternal legacy. • We believe that Legacy Retreat® activities for families should promote hope and joy in the promises of Jesus Christ. • We believe that a Legacy Retreat® should not be a clinical environment for evaluation or counseling, but instead be a place of fun, fellowship, and learning about leaving a legacy for children living with a terminally ill parent. • We believe that counselors and volunteers should comfort, encourage, and serve family members in the love of Jesus Christ.
What do you think about this statement of faith?*
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The role of volunteering with IoH is a rich and rewarding experience that can be stressful and emotionally demanding. Can you identify and give an example of your emotional strengths and weaknesses?
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Can you identify and give an example of your physical strengths and weaknesses?
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The volunteer role is truly one of presence; are you willing and comfortable to unplug from your phone for hours at a time? How would you actively engage while serving your family or serving in a children’s group?
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2. EMERGENCY CONTACT -- needs to be someone who is not attending the Legacy Retreat
Name*
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Relationship*
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Primary Phone Number*
Invalid Input. Emergency phone format - 123-456-7890

Other Phone Number
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Email Address*
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3. PERSONAL REFERENCE
Please share one reference outside of Inheritance of Hope who is a leader in your church, campus organization, community, etc. We would prefer a religious leader, but if none is available, another leader who knows you well will suffice.
Name*
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Position and Organization*
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Email Address*
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Phone Number*
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4. RELEASE INFORMATION
a. I understand that participation in an Inheritance of Hope Legacy Retreat® is purely voluntary.
b. On behalf of myself and all the Participants listed on this form, their heirs, personal representatives, guardians, successors, and assigns, I hereby unconditionally, irrevocably, and absolutely release, discharge, and agree to indemnify and hold harmless Inheritance of Hope, its directors, officers, employees, volunteers, agents, representatives, successors, and assigns, and any parent organizations, affiliates or subsidiaries, from any and all loss, liability, claims, demands, causes of action, costs or expenses (including attorneys’ fees), damages or suits of any type, whether in law and/or in equity, related directly or indirectly, or in any way connected with the Participants’ participation in the Inheritance of Hope Legacy Retreat®.
c. I understand, recognize, and agree that there are dangers, hazards, and risks associated with participation in the Legacy Retreat®. I understand that participation in the Legacy Retreat® may result in injury, property damage, interaction with persons having potentially communicable diseases, and/or death. I acknowledge that I understand and have fully considered the dangers, hazards, and risks associated with the Legacy Retreat® and voluntarily assume the risks associated with participation in the Legacy Retreat®. I hereby unconditionally, irrevocably, and absolutely release, discharge, and agree to indemnify and hold harmless Inheritance of Hope, its directors, officers, employees, volunteers, agents, representatives, successors, and assigns, and any parent organizations, affiliates or subsidiaries, from any and all loss, liability, claims, demands, causes of action, costs or expenses (including attorneys’ fees), damages or suits of any type, whether in law and/or in equity, in the event of injury, property damage, disease, and/or death related directly or indirectly, or in any way connected with the Participants’ participation in the Inheritance of Hope Legacy Retreat®.
d. By my/our signature(s) set forth below, I/we authorize Inheritance of Hope to photograph, film, and/or electronically record interviews with me/us in such a manner as they choose. I further give permission and consent that any such photographs, films, and/or electronically recorded interviews may be published and used by Inheritance of Hope and its agents to illustrate and promote the Legacy Retreat® experience and Inheritance of Hope.
e. I agree that this Agreement is intended to be as broad and inclusive as is permitted by the law of the State of North Carolina and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Any claims against Inheritance of Hope arising from or related to this Agreement or the Legacy Retreat® must be submitted to binding arbitration in accordance with the applicable rules of the American Arbitration Association. Any arbitration shall be sited in Transylvania County, North Carolina.
I/we hereby warrant that I/we have read the foregoing Release and executed it freely and voluntarily.
Give your legally effective electronic signature below by typing your full legal name and entering the date.
Applicant Signature:*
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Date:*
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Parent/Guardian Signature (required if applicant is under the age of 18):
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Date:
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5. RETREAT INFORMATION -- Please complete the following information to help us prepare the most comfortable and enjoyable retreat for you and our families.
Do you have any food allergies or dietary restrictions?*
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If "yes," please explain:
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Do you have any training and/or experience in working with people who have special needs: autism, Asperger's, ADHD, hearing impairment, vision impairment, etc.? *
Please complete this field.

If "yes," please describe briefly:
Please complete this field with "no" or a brief description of your training and/or experience in special needs.

Do you have any non-English language abilities?*
Please complete this field.

If "yes," please describe briefly:
Please complete this field with "no" or a brief description of your training and/or experience in non-English communication.

How did you hear about Inheritance of Hope?*
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We have found that your community is interested in supporting you. If willing, please list local media outlets (e.g., newspapers, TV stations, radio stations, etc.) and other community outlets (e.g., church, work, school communities, alumni organizations/clubs, etc.) so that we can ensure their awareness of your Legacy Retreat® participation.
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