Please fill out the form below to serve with Special Needs Ministry at Highland Park United Methodist Church.
If you would prefer to fill this out by hand please print this form and return it to Lanie Pettes:
3300 Mockingbird Lane, Dallas, TX 75205
I am applying for a position to serve with: (check all that apply) *
Gender *
T-Shirt Size *

HPUMC Member Status *
Fluent in other languages? (check all that apply) *
I am comfortable being paired with a person that has: (check all that apply) *


Please list ALL information for your three references. Please include a co-worker, friend, and employer/supervisor.

Media Clearance

Participation as a volunteer gives permission to Highland Park United Methodist Church to take and use your photograph for purposes of publicity, pictorial recordings, and identification.

Waiver Statement

As a volunteer in the Special Needs Ministry of HPUMC, I am aware there are risks of personal injury and/or illness connected to the assignment. I therefore, fully accept this assignment with that awareness.

I hereby release Highland Park United Methodist Church, Staff, and Volunteers of any claims or course of action in the event of an accident or injury due to participation in the Special Needs program.

By entering in my name and submitting electronically, I understand and agree with the terms of this release.

Signature (please use your mouse/trackpad to sign) *