Lazarus House Ministries
Good Shepherd Center
410 Hampshire St., 2nd Floor
Lawrence, MA 01841
978-689-8575
Bringing
the
Homeless
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Lazarus House Ministries - Volunteer Application

Volunteer Application

Name:
Date Of Birth:
Address:
City:
State:
Zip Code:
Home Phone:
Cell/Work Phone:
Email Address:
Volunteer Interest (please feel free to check more than one):
Office/Receptionist Cook/Meal Preparation Housekeeping
St. Martha's Food Pantry Pre-School Medical/Dental Clinic
Thrift Stores Good Shepherd Center/Other ESL/Tutor/Mentor
Corpus Christi Shelter Support/Serving Meals Driver/Pick Ups
Holidays Good Shepherd Center/Lunch Special Events: Hike for Hope
Repairs and Maintenance Special Projects - Groups Golf Tournament, Fall Dinner
Skills:
References:
Company and/or Group Affiliations
For group affiliations, please provide group leader's name.
Affiliations:
Volunteer Waiver
Volunteers must acknowledge and agree with the following waivers. Please check the appropriate box below to indicate acknowledgement and agreement.
Volunteer Status Statement
Volunteer hereby acknowledges that he/she is not an employee for Lazarus House, Inc. or its agents but rather is an unpaid volunteer and therefore, is not entitled to Workers' Compensation or any other benefits typically extended to employees.		 I Acknowledge
Release and Hold Harmless Statement
Volunteer agrees to release and hold harmless Lazarus House, Inc. and its employees, directors, officers, attorneys and agents, to the fullest extent permitted by law, from any injuries, losses, damages of any kind suffered while volunteering including but not limited to injuries caused in whole or in part by any negligent act or omission of Lazarus House, Inc. and/or its agents.		 I Agree
Hike for Hope

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Join us for the 11th annual Hike for Hope
and help bring the homeless home!

Save the date
OCT. 3, 2010

MERRIMACK COLLEGE

12:30 p.m.
 
Lazarus House Ministries    Post Office Box 408    Lawrence, MA 01842
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