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Complete this application in its entirety. Upon completion, you will see a link to complete the mandatory background check.

Thank you for your commitment to spreading the Gospel to Every Native American Nation!


Contact Information
Name *
Name
Address *
Address
Phone *
Phone
Emergency Contact Information
Name 1 *
Name 1
Best Contact Number for Emergency Contact *
Best Contact Number for Emergency Contact
Previous Volunteer Service
Do you have previous volunteer experience with Lutheran Indian Ministries?
When was your last volunteer trip with us?
When was your last volunteer trip with us?
Start date
End Date
Future Volunteer Service
How are you applying?
If you are applying as a member of a team, list each person's name on the team.
If you are applying as a member of a team, list each person's name on the team.
-include yourself in this list **Note: Each member on a team must submit his or her own application.** Team Contact:
Additional Team Members
Ministry
Congregation Address
Congregation Address
Congregation Phone Number
Congregation Phone Number
Pastor's Name
Pastor's Name
Pastor's Phone
Pastor's Phone
if different than above
Personal
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.
Work History
List three employers, beginning with the most recent.
Volunteer Service
List three organizations with which you have volunteered.
References
Please provide three personal references (pastor, teacher, co-workers, friends, etc.)
1.) Personal Reference
1.) Personal Reference
Address
Address
Phone
Phone
2.) Personal Reference
2.) Personal Reference
Address
Address
Phone
Phone
3.) Personal Reference
3.) Personal Reference
Address
Address
Phone
Phone
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: *
Today's Date *
Today's Date
Electronic Signature
By checking the box below, you certify that all the information you provided on this application is complete and true. *
Today's Date *
Today's Date
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!