Emergency Contact Information
Previous Volunteer Service
Please note: Prescription medications CANNOT be refilled in the small communities where we serve. If you volunteer, you must bring enough prescription medication to last through your time of service.
List three employers, beginning with the most recent.
List three organizations with which you have volunteered.
Please provide three personal references (pastor, teacher, co-workers, friends, etc.)
Authorization and Liability Release
By checking each box below, I am (or my guardian is) acknowledging that I have read the following information and agree to the standards set forth: *
Thank you for completing this application. All of the information secured in your application will be kept in the strictest confidence and will be used only for determing your volunteer service with Lutheran Indian Ministries.
Once you have submitted your application, you will be redirected to complete a background check through a secure site, Protect My Ministry. Thank you for completing this mandatory background check!