Volunteer

Helping Hands Healing Hearts Ministries – APPLICATION FORM

Section A - PERSONAL INFORMATION

Telephone Numbers:

(Please print as it would appear on a mailing label for your country)

Emergency Contact

Family Details

(prospective date if engaged)

Passport Information:

Do you have a criminal record?  Yes No

Section A - HEALTH FORM

PERSONAL HISTORY

How would you describe your current health status?

Are you at present under the care of a doctor for any condition?

 Yes No

If Yes, please specify:

Are you taking any medication at this time?

 Yes No

If Yes, please specify:

Are you allergic to any medications?

 Yes No

If Yes, please specify:

Do you have a history of emotional instability or psychiatric treatment?

 Yes No

If Yes, please specify:

Do you have any physical impairments, handicaps or health conditions which require special attention, including food allergies?

 Yes No

If Yes, please specify:

What is your blood type?

Are you under weight?

 Yes No

Are you over weight?

 Yes No
If so, by how much?

COMMUNICABLE DISEASES / FAMILY HISTORY

Have you ever had any of the following?

 Measles (Rubella) Measles (German) Chicken pox Mumps Pertussis (whooping cough) Scarlet fever Tuberculosis Hypertension Epilepsy Convulsions

*Please note that all your immunization shots need to be up to date, including Hepatitis A and B* and Typhoid. Rabies, Japanese Encephalitis shots and Malaria medication are all optional.

RELEASES, ACKNOWLEDGMENTS AND COMMITMENTS


If applicant is under 18 years of age, a Parent or a Guardian must sign all portions of this form. Type written/online applicants please note, a typed name in the box is assumed as a signature for all intents and purposes.






Release of Liability

I/We do hereby release Helping Hands Healing Hearts Ministries Philippines Inc, its staff agents and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss sustained by said persons during the course of involvement with the Ministry.



Signature of parent or guardian, if applicant is under 18 years of age.

Consent for Treatment

In case of emergency, I/ We hereby agree to the performance of such treatment, including anesthesia and surgery, or any other treatment that an attending doctor or physician may deem necessary. I/We agree to meet any and all medical expenses that are incurred during the course of involvement with Helping Hands Healing Hearts Ministries Philippines Inc



Signature of parent or guardian, if applicant is under 18 years of age.

Financial Responsibility.

I / We understand that all volunteers must be financially capable of providing for themselves for the whole duration of the trip.



Signature of parent or guardian, if applicant is under 18 years of age.

Agreement to abide by Ministry Guidelines & Structure.

If I am accepted I will abide by the rules, commitments and schedules of the ministry including:

  1. Being an ambassador for Christ whether on duty or off.
  2. Arriving at all Ministry opportunities and commitments on time.
  3. Practical help around the ministry and local church.
  4. Being respected and active member of the team and putting others needs ahead of my own.
  5. Being active in all ministry & outreach opportunities I am required to participate in.


I certify that all the information in this application is complete and accurate.



Signature of parent or guardian, if applicant is under 18 years of age.

Section B - LIFE HISTORY

Spiritual Growth

a. Outline your conversion and the events and steps leading up to that time.

b. Describe your spiritual growth since that time. Comment on events or spiritual experiences in your life, which led to new
levels of understanding and commitment. Include the character issues that God has dealt with in your life and what lessons they taught you.

c. Comment on your devotional life. Include such issues as prayer, Bible reading, Bible study, worship, devotions with spouse and family. Are you meeting your expectations for personal spiritual growth?

Relationships and experience

d. Please describe your relationship with your local church. Comment on areas of ministry, service, leadership experience, gifts and abilities.

e. Please consider and describe your relationship with your mother and your father.

f. Briefly describe your relationship with the rest of your family.

g. How does your family feel about your intentions to come to the Philippines and serve under Helping Hands Healing Hearts Ministries Philippines?

h. What languages do you speak and how proficiently?

Goals and expectations

i. Comment briefly on the circumstances that led up to your decision to apply for this ministry.

j. What are your reasons for wanting to be involved in this ministry? Please include spiritual and ministry goals, missionary and church service goals, which you hope HHM will help you fulfill.

k. Briefly, what are your plans following this mission trip?

God's work

l. How do you know that the Holy Spirit is working in your life?

m. Have you ever experienced a miracle in your life? Please describe it.

n. What do you think your spiritual gifts are? Do you have the opportunity to exercise these gifts in your local church body?

We realize that the following questions are very personal. Please be assured that all answers are held in strict confidentiality and are not the basis of your acceptance to the Ministry. If you have difficulty communicating your answer in writing, please let us know and someone will contact your personally to discuss.

Please answer in detail. One sentence is not sufficient if the answer is yes.

1. Have you used any of the following substances? If so, please explain how recently, in what quantities and what ministry you have had to overcome any addictions:


2. Have you ever had psychiatric treatment? If so, please describe the treatment received, dates, any lingering difficulties.

3. Have you ever been involved in any of the following areas? If so, please explain the circumstances briefly, the time and length of involvement and what ministry you have had to overcome them:


4. Do you have a history of abuse? Either verbal, physical, emotional or sexual.  Yes No

WORK HISTORY and EXPERIENCE

a. Please include a resume or history of your work experience.

b. Please include your involvement in special interest courses, musical abilities, artistic talents and hobbies.

c. Please include an official Police Check (normally available at a nominal fee from your local police station). NB. A police record will NOT automatically disqualify you from volunteering for HHM. The ministries visited during outreach sometimes require police checks.

Educational History

a. High School Name/Location:


b. List all other educational institutions attended beyond High School, if applicable. (e.g. college, university, nursing, business schools):








Section D – Area Of Interest

Please indicate areas of specific interest to you by marking them with a check and please mark with an x the areas you feel you would rather not be involved in.

Hospital Ministry

Children’s Recovery Unit Ministry (CRU) Olongapo/Baguio or Children’s Home

Community Projects

Section C - REFERENCE FORMS

We require

1 x Friend / Co-Worker reference
1 x Pastors reference
1x Employers reference

Your application will NOT be processed until we receive all your reference forms. Please ensure that all your referees complete and send them into our office as soon as possible.

If your parents are your pastors we ask that you have a youth pastor or cell group leader complete your pastoral reference. Please contact us if you need clarification.

References - Friend / Co-worker

Please list the people to whom you gave your reference forms.











Pastoral Reference

Enclosed is a reference form and letter for you to give to your pastor. We want to invite his/her counsel and input with regards to your application.










Is your Pastor in agreement with your plans?  Yes No

How long have you attended this church?

What size is the church?

How would you describe your relationship with your pastor?

FRIEND / CO-WORKER Reference Form

(Confidential! Please do not show completed form to the applicant.)

The above applicant has applied to Helping Hands Healing Hearts Ministries Philippines Inc as a volunteer Missionary to work with sick and dying children and their families. (Please see www.helpinghandsministries.com for a full overview of the ministry)

We would appreciate it if you would supply the information requested on this form,






1) What is your relationship to the applicant, (leader, friend)?

2) How many years have you known the applicant?

3) What do you perceive to be the applicant's best qualities?

4) What do you perceive to be the applicant's greatest weakness(es)?

5) How do you think missions’ exposure at Helping Hands Healing Hearts Ministries Philippines Inc will aid the applicant’s development?

6) What ministry or spiritual gifts have you observed in operation in the applicant?

7) Have you any reservations about the applicant volunteering to work with sick and vulnerable children or in applying in general to be a missionary?

8) Do you know of any incidents or examples in which the applicant compromised his or her Christian faith or moral integrity? If so, please explain, including how it was resolved.

9) Please rate the applicant's ability to get along with his or her peers:  Outstanding Excellent Good Fair Poor

10) Please rate the applicant's ability to relate to authority:  Outstanding Excellent Good Fair Poor

11) Please rate the applicant's ability to relate to unbelievers:  Outstanding Excellent Good Fair Poor

12) Please rate the applicant's leadership skills:  Outstanding Excellent Good Fair Poor

13) Please rate the applicant's ability to overcome adversity:  Outstanding Excellent Good Fair Poor



Please direct all forms to : Fax: (+63) 47 223 3601 or Email to: contact@helpinghandsministries.com
Post to: Claire Henderson, Helping Hands Healing Hearts Ministries, 6 Harris Street, East Bajac Bajac, Olongapo City, Philippines 2200

Employers Reference Form

(Confidential! Please do not show the completed form to the applicant.)

The above applicant has applied to Helping Hands Healing Hearts Ministries Philippines Inc as a volunteer Missionary to work with sick and dying children and their families. (Please see www.helpinghandsministries.com for a full overview of the ministry)

We would appreciate it if you would supply the information requested on this form, in order to aid us in evaluating the applicant's suitability for the volunteer program.

Please be honest in your recommendation as we want the best for both our children and the applicant.






1) What is your relationship to the applicant, (leader, friend)?

2) How many years have you known the applicant?

3) What do you perceive to be the applicant's best qualities?

4) What do you perceive to be the applicant's greatest weakness(es)?

5) How do you think missions’ exposure at Helping Hands Healing Hearts Ministries Philippines Inc will aid the applicant’s development?

6) What ministry or spiritual gifts have you observed in operation in the applicant?

7) Have you any reservations about the applicant volunteering to work with sick and vulnerable children or in applying in general to be a missionary?

8) Do you know of any incidents or examples in which the applicant compromised his or her Christian faith or moral integrity? If so, please explain, including how it was resolved.

9) Please rate the applicant's ability to get along with his or her peers:  Outstanding Excellent Good Fair Poor

10) Please rate the applicant's ability to relate to authority:  Outstanding Excellent Good Fair Poor

11) Please rate the applicant's ability to relate to unbelievers:  Outstanding Excellent Good Fair Poor

12) Please rate the applicant's leadership skills:  Outstanding Excellent Good Fair Poor

13) Please rate the applicant's ability to overcome adversity:  Outstanding Excellent Good Fair Poor



LETTER TO PASTOR

Dear Pastor

Greetings from Helping Hands Healing Hearts Ministries Philippines Inc. You have been given this form, by somebody whom you have pastoral oversight for, who wishes to volunteer at our mission for sick and dying children and their families in the Philippines. (Please see www.helpinghandsministries.com for a full overview ofthe mission)

Helping Hands Healing Hearts Volunteer Missionary Program is designed for people who are already attaining, or heading toward a level of maturity and Godly character and have a specific call to Missions. It is our vision to see people released to minister with a pure heart, knowing how to sense and flow with the Holy Spirit, and having the tools to practically minister.

Many volunteers do attain a measure of healing in their personal lives as they come to serve God but please bear in mind that this healing is a by-product of their obedience to God and willingness to serve, but it is not, and cannot be, their primary reason for applying to come. They should be coming to help others heal rather than be ministered too directly. Please keep this in mind as you recommend the applicant as they are coming out as a representative of your church. Attitude of the heart and character are major factors in our decision to accept this person.

We would be grateful if you could complete the attached reference form so we can assess if this ministry is right for the applicant.

All information on this form is confidential.
In His grace,
Claire Henderson
Founder and Director

PASTOR'S Reference Form (Confidential)

We would appreciate it if you would supply the information requested on this form, in order to aid us in evaluating the applicant's suitability for admission.










1) How long have you known the applicant?

2)What is your position in the church?

3) How well do you know the applicant?

 Very well Well Casually

4) Were you aware of the applicant's intention to volunteer with us prior to receiving
this form?  Yes No

Comment:

5) Are you happy with his/her intentions?

6) In what activities has the applicant participated since attending your church?

7) Has he/she shown effectiveness in these activities?

8) Does the applicant tithe regularly to the church?  Yes No Unsure

9) Upon your observation, do you see the applicant as financially responsible?  Yes No Unsure

10) In your association with the applicant, what has been the level of commitment you have seen?  Faithful Inconsistent Other

Comments:

11) This is an evaluation of the applicant's overall characteristics.

Please tick one for each category.
Responsiveness to others Leadership Ability

Physical Condition Willingness to serve

Intelligence Teamwork

Relationships Achievement

Christian experience Ability to follow

How does the applicant usually react to trying situations?

Explain:

Evaluation of applicant’s emotional maturity.

Doubtful. Experience has shown that the applicant might not be able to handle trials.


12) Please comment on areas of weakness you might be aware of.

13) To your knowledge, has the applicant ever been arrested for any offense?


If yes, please explain:

14) Has the applicant proven on any occasion to be unreliable, dishonest, or of questionable character?


If yes, please explain:

15) To your knowledge, has the applicant been involved in any of these areas? Drug and alcohol abuse, homosexuality, extramarital or premarital sexual relationships, pornography, the occult, and compulsive behaviors.


If yes, please explain:

16) Please comment on the family background.

17) Overall, what do you consider to be the applicant’s strong points? (include special abilities)

18) What could Helping Hands Healing Hearts do to aid the applicant's development?

19) Do you wholeheartedly recommend this person as a missionary to Helping Hands and representative of your church?

To the best of my knowledge the above information is correct and I believe that he/she possesses the qualities indicated above.



Thank you for your time and help with this application.