Program Volunteer ApplicationPlease fill out and submit this form and one of our staff members will be in touch. Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Age * Marital Status * Single Married Other Career/Occupation * Do You Have Transportation? * Yes No How did you hear about Naomi's House? * Where do you attend church? * How often to you attend church? * Weekly Monthly Infrequently Annually What other services or ministries are you involved in? * Is there anything else you can share to help us know you better? Share your story: When and how you came to accept Jesus Christ as your savior * How does your faith in Christ make a difference in your everyday life? * Write a brief explanation of how you would answer a woman who approached you with questions about how to accept Jesus Christ as her savior * Do you have any special interests, hobbies, or talents that might benefit a particular area of our ministry? * Please indicate areas you are most interested in teaching: * Crafting Group Life Skills Teacher (teach 2–3 classes quarterly) Time Management DHS Benefits Healthy Eating and Meal Planning Medical Wellness Mentor Driver Leader of Game Night Tutor What is your availability? * Please include Mon–Fri daytime hours, evenings, and weekends Pastoral Reference * Please include the following: name and title; how long have you known this person; reference's phone number; references email Personal Reference * Please include the following: name and title; how long have you known this person; reference's phone number; references email Statement of Faith: Please Read & Confirm Agreement 1) We believe all Scripture is given by inspiration of God, and is profitable for doctrine, for reproof, for correction, for instruction in righteousness. We believe that the Scriptures of the Old and New Testaments are God's own written Word, given by the inspiration of God in the sense that the Holy Spirit guided holy men of old in their choice of the very words of the sacred writing; and that His divine inspiration is not in different degrees, but extends equally to all parts of these writings. 2) We believe in the only true God, who created all things, and upholds all things by the power of His Word, in whom we live and move and have our being. We believe that the Godhead eternally exists in three distinct persons, the Father, the Son and the Holy Spirit; and that these three are one God, having precisely the same nature, attributes and perfections, and worthy of precisely the same homage, confidence and obedience. 3) We believe that by one man sin entered into the world, and death by sin. We believe that man, originally created in the image and after the likeness of God, fell into sin and totally lost all spiritual life, becoming dead in trespasses and sins, and subject to the power of the devil. 4) We believe that Christ died for our sins according to the Scriptures; that He was buried, and that He rose again on the third day according to the Scriptures and sat down on the right hand of God, now to appear in the presence of God for us. We believe that Christ, in the fullness of the blessings He has secured by His obedience to death, is received by faith alone, and that the moment we trust Him as our substitute and therefore our Savior, we pass out of death into everlasting life, being justified from all things, accepted before the Father according to the measure of His acceptance, loved as He is loved, and being one with Him forever. 5) We believe that God, in His own time and in His own way, will bring this present era to a close. According to His promise, our Lord Jesus Christ will return imminently, personally, and bodily for His church and also for the establishment of His kingdom on earth. We believe that God commands everyone everywhere to believe the Gospel by turning to Him in repentance and receiving the Lord Jesus Christ as Savior. We believe that God will raise the dead bodily and judge the world, assigning unbelievers to condemnation with eternal conscious punishment and believers to eternal joy with the Lord in the new heaven and the new earth. 6) We believe that the Holy Spirit was given on the day of the Pentecost to unify all believers into one body, the church. His presence in the lives of believers is revealed by His fruit: love, joy, peace, patience, kindness, goodness, faithfulness, gentleness, and self-control. We believe that the Holy Spirit is the source and power of all acceptable worship and service, for which we were created, and is our abiding Comforter and Helper, that He never departs from the church nor from the feeblest of the saints, but is ever present to testify of Christ, seeking to occupy us with Him and not with ourselves. 7) We believe that we are His workmanship, created in Christ Jesus to do good works, remembering our responsibility to pray for all those in authority and to do good to all, especially those in the household of faith. We believe that we are called with a holy calling to walk not after the flesh, but after the Spirit, and so to live in the Spirit that we should not fulfill the lusts of the flesh; but the flesh being still in us to the end of our earthly pilgrimage, needs to be kept constantly in subjection to Christ, or it will surely manifest its presence to the dishonor of His name. 8) We believe that the church is composed of all those who are united by the Holy Spirit to the risen and ascended Son of God, and that by that same Spirit we are all baptized into one body, and are responsible in good conscience to keep that unity of the Spirit, loving one another with a pure heart, fervently. We believe that the Lord Jesus Christ who is the Head over all the church, commanded His people to observe two ordinances, neither of which is a means of salvation but is an evidence of obedience and fellowship with Jesus. In neither of them has the unbeliever any part. Jesus commanded us to teach all nations, baptizing believers in the name of the Father, and of the Son, and the of the Holy Spirit, and to observe the Lord's Supper therefore proclaiming His death until He comes. I have read and I am agreement with the Naomi’s House Statement of Faith. Please confirm "yes" or "no." Yes, I agree No, I do not agree Waiver of Liability I freely, voluntarily and after carefully reading, execute this Volunteer Waiver of Liability: I understand that as a volunteer I am not entitled to employee benefits from Naomi’s House or The Moody Church such as health or accident insurance, workmen's compensation benefits, etc. I understand it is my responsibility to provide my own health, disability, liability or accident insurance to cover my claims or claims against me as a volunteer performing my duties as a volunteer. I understand that as a volunteer, I am protected from liability by the Federal Volunteer Protection Act as long as I am performing my assigned duties or tasks, not acting in a grossly negligent manner, or operating a motor vehicle. Should damages or injuries occur while I am operating a motor vehicle during the course of my volunteer duties, I understand that I accept any and all responsibility for damages to my vehicle, others property as well as injury to me, passengers in the vehicle with me, or other motorist or passengers involved. I release Naomi’s House and The Moody Church from any liability or responsibility for damages to my property or the property of others in the event of an accident involving my vehicle or others. I furthermore release Naomi’s House and The Moody Church from any liability or responsibility in the event of injuries to myself, passengers or others involved. I understand and fully agree that any involvement with Naomi's House graduates or participants who have left the program prior to completion is at my own risk. Naomi’s House and The Moody Church reserve the right to use any photograph / videography taken on Naomi’s House and The Moody Church's property or at any event that we participate in or host. I have read and I am agreement with the Naomi’s House Waiver of Liability. Yes, I agree No, I do not agree Volunteer Confidentiality Waiver and Agreement I freely, voluntarily and after carefully reading, execute this Volunteer Waiver of Liability: I understand that as a volunteer I am not entitled to employee benefits from Naomi’s House or The Moody Church such as health or accident insurance, workmen's compensation benefits, etc. I understand it is my responsibility to provide my own health, disability, liability or accident insurance to cover my claims or claims against me as a volunteer performing my duties as a volunteer. I understand that as a volunteer, I am protected from liability by the Federal Volunteer Protection Act as long as I am performing my assigned duties or tasks, not acting in a grossly negligent manner, or operating a motor vehicle. Should damages or injuries occur while I am operating a motor vehicle during the course of my volunteer duties, I understand that I accept any and all responsibility for damages to my vehicle, others property as well as injury to me, passengers in the vehicle with me, or other motorist or passengers involved. I release Naomi’s House and The Moody Church from any liability or responsibility for damages to my property or the property of others in the event of an accident involving my vehicle or others. I furthermore release Naomi’s House and The Moody Church from any liability or responsibility in the event of injuries to myself, passengers or others involved. Naomi’s House and The Moody Church reserve the right to use any photograph / videography taken on Naomi’s House and The Moody Church's property or at any event that we participate in or host. I understand that I am a guest in Naomi’s House during my time in Naomi’s House and on the Naomi’s House property. I agree that I will not disclose the location of Naomi’s House or any information regarding Naomi’s House that I learn while in contact with Naomi’s House. Such information includes, but is not limited to: as previously mentioned, the specific location of the Naomi’s House, participant's names, personal information and/or physical descriptions of participants that could be used to identify them, specific policies and procedures of the Naomi’s House. I understand that to disclose any of the above information to outside parties may result in my being forbidden to return to the Naomi’s House or in extreme cases, legal action being taken against me. If while on site I am ever in a position where I feel I must compromise the confidentiality of the Naomi’s House, I will notify a staff member immediately. Such situations include a risk to anyone’s safety and reports of resident abuse. Yes, I agree No, I do not agree Which NH location are you interested in? * Check as many as you'd like: Wheaton Elgin Chicago Thank you for your application!
