Disaster Response Application

Applicant Info
Please indicate which you are:
Each individual member of a team must complete an application.
Church Information (optional)
Ministry
Please indicate desired ways to engage:








 

 

Supplemental Insurance

Once individuals and groups are notified regarding a service assignment in a specific area, they are strongly advised to purchase volunteer insurance. This supplemental insurance provides excellent coverage at a very affordable rate. CBF National has developed relationships with two short term insurance providers. For information related to online insurance enrollment, contact Chris Boltin or Victoria Whatley.

The Church Benefits Board (CBB), through their relationship with World Insurance Association, Inc., provides international short term coverage. Groups and individuals wishing to utilize these services may contact Victoria Whatley, or visit the fellowshiptravel.org website. Once your enrollment is completed, CBF National will be alerted and sent an electronic copy of your coverage.

Groups and individuals wishing to enroll for domestic or international coverage, may visit the Adams & Associates website. Username should be entered as "CBF". Password should be entered as "VOLUNTEER". Once your enrollment is completed, CBF National will be alerted and sent an electronic copy of your coverage.

Release Waiver

I understand that the Cooperative Baptist Fellowship and its associates do not assume any responsibility for loss of property, damage to the same, personal harm, or illness that may come; and I, for myself, my heirs, executors, administrators, distributees and assigns, in consideration of my admission to short term service and other good and valuable considerations, do hereby absolve said Cooperative Baptist Fellowship and hold said institution and its associates harmless from any claim or demand which I or they might conceivably assert upon the basis of foregoing by the submission of this electronic document.

NOTE: Any applicant under 18 years of age, must print off the above form, have it signed by a parent, and mail it to the CBF Resource Center in Atlanta.

The submission of this application does not constitute acceptance for work on a disaster response project.

The information that I have provided on this form is accurate and true to the best of my knowledge. Cooperative Baptist Fellowship representatives are hereby authorized to gather information as it relates to the process of my particular short term engagement location. For all projects related to working directly with children, a nominal fee will be required to cover the cost of a mandatory background check. Each applicant needing a background check will be responsible for these fees. All gathered information and forms will be kept on file for one (1) year. Any documents completed and provided during the application process become the property of the Cooperative Baptist Fellowship and will not be returned.

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Cooperative Baptist Fellowship

160 Clairemont Avenue, Suite 500
Decatur, GA 30030

800.352.8741

fellowship@cbf.net

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