Individual Volunteer
Application

Thank you for applying to become a Mansfield Mission Center Volunteer!

Clinic Volunteer – see process below.
Other Volunteer opportunities – complete this application.

Should you have any questions please send an email to [email protected] and we will reach out to you.

First Name

Last Name

Address

City

State

Zip Code

Phone

Email

Languages Spoken Languages Spoken English Spanish Other(s)

Age Age Adult (18+) Youth (14-17) Child (13 and under with adult supervision)

Other Language(s)

Date of Birth (MM/DD/YYYY)

Employer/School

Emergency Contact Name

Emergency Contact Phone

Where are you interested in serving? (Some volunteer positions may require a background check before you start.) Where are you interested in serving? (Some volunteer positions may require a background check before you start.) Community Garden Events Food Market (18 and older) Lay Chaplain Financial/Employment Team Translator (upon request) Thrift Store - Cashier (16 and older and background check required) Thrift Store - Processing (sorting and organizing donations) Thrift Store - Receiving (unload donations) Where I am needed most

How did you hear about us How did you hear about this volunteer opportunity?

Referred by If you were referred by a church or faith organization, please note that here:

Terms & Conditions

I understand that volunteering is a commitment to work with Mansfield Mission Center to make a difference in our community. If selected I agree to respect the Mansfield Mission Center mission, vision, values, and represent Mansfield Mission Center in a positive and professional manner, to show up when scheduled, work hard, and to have fun. I grant to Mansfield Mission Center the right to photograph or record me on video and to use my name, voice and/or likeness for promotional purposes and on social media platforms related to the Mansfield Mission Center. By disclosing my email, I agree that Mansfield Mission Center may contact me for the purpose of advising me about any of the Mansfield Mission Center programs or services, or for such other purpose(s) as the Mansfield Mission Center deems appropriate. I understand that the volunteer activities I may be asked to perform may involve physical activity, contact with unidentified and unfamiliar persons, travel to and from unspecified locations, and other potential risks of injury. Knowing this, I agree to take responsibility for my own personal safety when participating in any volunteer opportunities. I agree to participate only in volunteer activities of which I am physically capable without risk of injury to myself. I assume any and all risk in connection with my volunteer efforts or participation, including without limitation risk of any accident or injury to person or property, which I may sustain in connection with my participation. In addition, I hereby release and discharge Mansfield Mission Center and any of its directors, officers, employees, partners, affiliates, agents and successors from any and all liability or responsibility for any such accident or injury.

Terms & Conditions* Terms & Conditions* I agree to the Terms & Conditions My parent/guardian has give their permission for me to volunteer at Mansfield Mission Center (if Youth)

5 + 9 =

Linda Nix Clinic Volunteers

We are looking for highly skilled and qualified volunteers who have a heart to serve the under-resourced in our community.
Clinic volunteers are categorized in three areas. Please specify which area you are qualified for and send a resume to [email protected].

Provider (MD, DO, MP, PA)
Nursing/Triage (RN, LVN, MA, EMT)
Clinical Admin/Front Desk

Resume’s are reviewed once a month and qualified candidates will be contacted for an interview.

78 Regency Parkway
Mansfield, TX 76063

817.473.6650

[email protected]

Individual Volunteer Application

Thank you for applying to become a Mansfield Mission Center Volunteer!

Linda Nix Clinic Volunteers

Individual Volunteer
Application