I understand I am volunteering to perform work duties for Lenawee County Mission without expectation of wages or other type of compensation for my work. I am serving as a volunteer and not as an employee, and as such, I realize I have no legal claim for minimum wages, overtime, premiums, unemployment compensation or other provision of law for employees. Rather, it is my desire to help the Mission accomplish its God-given purpose. I also understand that as a volunteer, my skills will be matched with appropriate work as available. I hereby waive and release all claims I may have as a result of volunteering against Lenawee County Mission and its officers, agents, servants and employees.

I have read and agree with the above statement and insure that all information I have provided is truthful.

Statement of Faith

We believe that the Lord Jesus Christ is deity, that He was born of a virgin, that we are redeemed by his atoning death through His shed blood, that He bodily resurrected and ascended into heaven and that He will come again in great power.

We believe in the present ministry of the Holy Spirit, by whom Christ indwells each believer enabling them to live a Godly life of obedience as he or she reaches for maturity.

Volunteers Opportunities Survey

The following is a list of possible volunteer opportunities available at one of our locations. Please place a check each volunteer position for which you have an interest.

Administrative

Assist with special mailings
Project Assistance
Assist with assembling packets
Collect on-site donation canisters

Maintenance

Inside Cleaning
Yard Work
Interior Painting
Interior Repair Work

Kitchen/Men's Shelter

Assist with set-up, serving and clean-up
Bring in prepared meal or snack for 20 people
Cleaning (refridgerator, appliances, etc.)

Food Pantry

Sort food donations
Stock food pantry
Distribute food
Check-in clients

Special Events

Kitchen Help
Gift/food distribution
Greeters/Hosts
Set-up/clean-up
Event Organization
Driver

Resale Store

Floor Clerk
Processing & Sorting
Receiving
Maintenance
Stocking
Cleaning

Volunteer Waiver/Release Form

Lenawee County Mission welcomes you as a volunteer! This should be a fun and worthwhile experience and we thank you for your participation.

Lenawee County Mission is committed to conducting its activities in the safest manner possible and holds the safety of its volunteers in the highest regard. We continually strive to reduce the risk of injury and insist that all volunteers follow safety rules and instructions which have been designed to protect their safety.

In the event of an accident involving injury, please report it promptly to a LCM supervisor. Be advised that medical accident coverage IS NOT PROVIDED and any medical claims must be processed through your personal medical coverage or Medicare. Therefore, all volunteers should review their own medical insurance policy for coverage. Please note that the absence of personal medical insurance coverage does not make Lenawee County Mission responsible for the payment of a volunteer’s medical expenses.

As a volunteer, I recognize that there are certain risks of physical injury and agree to assume such risk and any damage or loss I may sustain as a result of volunteering for any and all activities associated with Lenawee County Mission. I hereby waive and release all claims against Lenawee County Mission and its officers, agents, servants and employees that I may have as a result of volunteering.

I further agree to indemnify and hold harmless and defend Lenawee County Mission and its officers, agents, servants and employees from any and all claims resulting from injuries, damages, and losses sustained by me or arising out of, connected with or in any way associated with the activities of the Lenawee County Mission.

In the event of an emergency, I authorize officials of Lenawee County Mission to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my immediate care and agree that I will be responsible for payment of any and all medical services.

I have read and fully understand the above warnings of risk, permission to secure emergency treatment, and waiver and release of all claims against Lenawee County Mission.

Background Check Release Form

It is standard practice for Lenawee County Mission to conduct routine background checks on all volunteers who will be ministering in chapel services, driving LCM vehicles, transporting guests or handling money. The information you provide herein will be held in the strictest of confidence and used only for its intended purpose.

Although furnishing your Social Security Number and driver license number is not optional in this circumstance, know it shall be used for NO OTHER PURPOSE than to make the process for conducting a background search more accurate. Numbers or other information SHALL NOT BE SOLD OR IN ANY WAY TRANSFERRED to a third party except for the express purpose of conducting this background check.

Alias or Other Name (Maiden Name, etc.)

Social Security Number

Driver's License Number

State(s) of residence other than Michigan for the last five (5) years:

I have read this Lenawee County Mission Volunteer Disclosure and by signing below, hereby authorize a background check as described herein in conjunction with my application for volunteer duties. I hereby release any and all investigators, including LCM, from any and all liability related to the procurement or disclosure of any information provided by me or obtained about me in connection with my application with LCM. I further direct and authorize investigators to conduct the background check and further authorize any third parties who may be the custodians of or in possession of the related information, to disclose such information to investigators in connection with this background check.

Please type your name below and create an authorization question in lieu of signature.