Volunteer Application Name First Name & Middle Initial * Best Phone Number * Email Address * Gender * Male Female Last Name * What is the best time to call you? * Address * Age * How did you hear about Living Well Clinic? * What current position would like to volunteer for? * Primary Care Provider Medical Support (Nurse, etc) Pharmacy Intake Specialist Office Staff Dietitian General Support Other If you checked Other, please describe how you would like to volunteer and what skills you might have: How often would you like to volunteer (can be more than one answer)? * 1 time per week 1 time per month 2 times per month 3 times per month 4 times per month For special activities ONLY Describe any education, training, degrees, licenses, or certificates that relate to your ministry at the Clinic: Describe your previous and/or current volunteer experience: What skills, talents, gifts, or personality traits would you bring to this ministry? Faith Background Describe your spiritual journey as a follower of Christ: * What church do you attend? How would you answer this question: “How can I have a relationship with God?” * Please explain when and how you became a born again believer? * Why do you wish to volunteer at Living Well Clinic * References First Name * Email Address Last Name * Phone Number How do you know this person? First Name * Email Address Last Name * Phone Number How do you know this person? First Name * Email Address Last Name * Phone Number How do you know this person? Statement of Faith Introduction: The purpose of this statement of faith is to communicate the core elements of faith that our organization believes, upholds, and lovingly shares with others. Our identity, purpose, and ministry methods are derived from these principles that we hold as true and foundational. This statement is intended to ensure that the people who serve in this clinic are unified in our philosophy and mission and in agreement with the Gospel message we proclaim. The Bible: We believe the Bible is the complete, inspired, inerrant, and authoritative Word of God. It is God’s revelation of Himself to us and is the ultimate source of truth to guide our lives. God: We believe in One God- eternal, omnipotent, omniscient, and omnipresent existing as three persons – Father, Son, and Holy Spirit. Jesus: We believe the Lord Jesus Christ was begotten by the Holy Spirit, born of the Virgin Mary, and that He is both true God and true Man Humans and Sin: We believe humankind was directly created by God in His image and likeness in unbroken relationship with God, free of sin. When Adam and Eve disobeyed God’s command sin entered the world bringing the consequences of separation from God and death. As a result, all human beings are born with a sinful nature and are sinners in thought, word and deed. Salvation: We believe that Jesus Christ lived a sinless, perfect life and died on the cross as our substitute, paying the penalty for sin so that humankind can be reconciled to God. Christ’s triumphant resurrection on the third day was a clear demonstration of the sufficiency of the payment and evidence that God’s wrath had been appeased through the sacrifice of His Son. Our belief in Jesus Chris is the sole basis of our salvation which is by grace through faith, and not as a result of any good works. Acceptance of God’s offer of salvation includes repentance of sin and faith in the person and work of Christ. At that point believers are forgiven of all sin based upon the sacrifice of Christ. This salvation begins a process of transformation in the life of the believer and we have the confident hope that we will spend eternity in the presence of God in heaven. We believe that Jesus Christ will return personally and visibly to the earth and the dead will be raised. Christ will serve as the judge and those who are found unrighteous will be consigned to Hell, the place of everlasting punishment. But those who are found to have the righteousness of Christ will live forever in Heaven with the Lord in their glorified bodies. The Church: We believe that all who place their faith in Jesus Christ are immediately placed by the Holy Spirit into one united spiritual body, the church, and that believers are directed by God to associate together in local assemblies. We believe that the primary purpose of the church is to glorify God and that the primary mission of the church is to be God’s witness and to make disciples (learning believers) throughout the whole world. Do you affirm the Statement of Faith of Living Well Clinic above. If your affirmation changes in the future for any reason, you will notify the management of Living Well accordingly. * YES, I so affirm.