Volunteer Survey

Name *

First

Last

Email *

Address *

City, State, Zip

Phone Number

Cell Phone Number

Church

Check the talents and skills you are willing to share:

Other talent or professional skills

Love INC Clearinghouse volunteers:

Phone volunteer
Office worker
Special project volunteer

Confidentiality Statement: *

By signing above, I agree to take extreme care to protect the confidentiality of all individuals (clients, volunteers, staff, donors, etc.) and churches involved in the Love INC ministry. I will hold any information obtained by me or to which I have access in the strictest confidence. I will not disclose or discuss information regarding any individual or church to anyone other than the appropriate Love INC personnel. I believe the Statement of Beliefs* and agree to abide by Love INC’s Confidentiality Statement.