Good Samaritan Fund Application
For anyone requesting assistance through the Good Samaritan Fund through Trinity Church
By submitting this application, you agree to the following statements:
I understand that Trinity Lutheran will attempt to assist me (us) in addressing my (our) current needs. I (we) acknowledge that consulting with the Care Ministry may involve sharing of my (our) information with other ministries of Trinity Lutheran Church on a "need to know" basis. I authorize such sharing of information within Trinity Lutheran Church. Trinity affirms the need to keep this information confidential, and will not share the information with anyone outside of Trinity's ministries on a "need to know" basis.
In consideration of receiving assistance from Trinity Lutheran Church in addressing my (our) current needs, I (we) release and forever discharge Trinity Lutheran Church, its former and present officers, directors, pastors, employees, volunteers, members, and agents from any claim, suit, action, demand or liability of any kind arising out of, or in any manner connected to, my (our) participation in Pastoral Care services.
By submitting this application, you agree to the following statements:
I understand that Trinity Lutheran will attempt to assist me (us) in addressing my (our) current needs. I (we) acknowledge that consulting with the Care Ministry may involve sharing of my (our) information with other ministries of Trinity Lutheran Church on a "need to know" basis. I authorize such sharing of information within Trinity Lutheran Church. Trinity affirms the need to keep this information confidential, and will not share the information with anyone outside of Trinity's ministries on a "need to know" basis.
In consideration of receiving assistance from Trinity Lutheran Church in addressing my (our) current needs, I (we) release and forever discharge Trinity Lutheran Church, its former and present officers, directors, pastors, employees, volunteers, members, and agents from any claim, suit, action, demand or liability of any kind arising out of, or in any manner connected to, my (our) participation in Pastoral Care services.