Key Leader Application


Operation Heal Our Patriots key leaders volunteer their time and talents to serve and disciple fellow program participants.

Each individual should fill out his/her own application.
  • Please select one
  • Please select one
  • Our best way to communicate with you will be via email.


  • Please select all that apply.


  • 10 being the best ever!


  • 150 words or less




  • Please select all that apply.


  • References











  • Volunteer Waiver Samaritan’s Purse Authorization and Release

  • By participating in Samaritan’s Purse activities, I understand and agree with the following statements:
    • I assume all risks associated with Samaritan's Purse ("SP") activities and release SP from any and all liability for claims or damages I might have that result from volunteering with SP. I understand that SP is not responsible for the safety or security of my personal effects and release SP from liability for theft, damage, or destruction of my personal property.
    • I understand and acknowledge that I am a volunteer, not an employee of SP or other organizations that SP works with. As a volunteer, I am not entitled to employee or other benefits from SP such as health or accident insurance, workers compensation benefits, or compensation for duties performed or hours worked.
    • I consent to allowing SP to contact emergency medical care or first aid in the event I suffer any illness or accident while performing volunteer activities. I release, discharge, and hold SP harmless from any claim related to the provision of such emergency medical care.
    • I understand that SP strives to be good stewards of their resources and diligent in their concern for the safety and security of all volunteers, staff, and resources affiliated with the ministry. Therefore, I acknowledge that if I have been convicted of crimes against minors or sexual offenses, I am prohibited from volunteering at SP-related events and activities.
    • I acknowledge and agree that while volunteering with SP, my activities may be photographed or videotaped. I consent to the use by SP and/or its authorized representative of photographs or videos in which I appear, and I acknowledge and agree that I have no ownership rights in or to those photographs or videos. I release SP, its agents and assignees from any claims that I may have relating to any photographs or videos, including without limitation, any claim arising under the right of publicity, right or privacy, defamation and/or copyright infringement.
    • I understand that certain travel, meals, and lodging may be deductible related to my volunteer activities as a charitable contribution. I understand that I have been advised to consult my tax advisor regarding charitable contribution deductions and any other tax questions.


  • Samaritan's Purse Statement of Faith

    • We believe the Bible to be the inspired, the only infallible, authoritative Word of God. 1 Thessalonians 2:13; 2 Timothy 3:15-17, John 3:16.
    • We believe that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit. Matthew 28:19; John 10:30; Ephesians 4:4-6.
    • We believe in the deity of the Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood on the cross, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory. Matthew 1:23; John 1:1-4 and 1:29; Acts 1:11 and 2:22-24; Romans 8:34; 1 Corinthians 15:3-4; 2 Corinthians 5:21; Philippians 2:5-11; Hebrews 1:1-4 and 4:15.
    • We believe that all men everywhere are lost and face the judgment of God, that Jesus Christ is the only way of salvation, and that for the salvation of lost and sinful man, repentance of sin and faith in Jesus Christ results in regeneration by the Holy Spirit. Furthermore, we believe that God will reward the righteous with eternal life in heaven, and that He will banish the unrighteous to everlasting punishment in hell. Luke 24:46-47; John 14:6; Acts 4:12; Romans 3:23; 2 Corinthians 5:10-11; Ephesians 1:7 and 2:8-9; Titus 3:4-7.
    • We believe in the present ministry of the Holy Spirit, whose indwelling enables the Christian to live a godly life. John 3:5-8; Acts 1:8 and 4:31; Romans 8:9; 1 Corinthians 2:14; Galatians 5:16-18; Ephesians 6:12; Colossians 2:6-10.
    • We believe in the resurrection of both the saved and the lost; the saved unto the resurrection of eternal life and the lost unto the resurrection of damnation and eternal punishment. 1 Corinthians 15:51-57; Revelation 20:11-15.
    • We believe in the spiritual unity of believers in the Lord Jesus Christ and that all true believers are members of His body, the Church. 1 Corinthians 12:12, 27; Ephesians 1:22-23.
    • We believe that the ministry of evangelism (sharing and proclaiming the message of salvation only possible by grace through faith in Jesus Christ) and discipleship (helping followers of Christ grow up into maturity in Christ) is a responsibility of all followers of Jesus Christ. Matthew 28:18-20; Acts 1:8; Romans 10:9-15; 1 Peter 3:15.
    • We believe God’s plan for human sexuality is to be expressed only within the context of marriage, that God created man and woman as unique biological persons made to complete each other. God instituted monogamous marriage between male and female as the foundation of the family and the basic structure of human society. For this reason, we believe that marriage is exclusively the union of one genetic male and one genetic female. Genesis 2:24; Matthew 19:5-6; Mark 10:6-9; Romans 1:26-27; 1 Corinthians 6:9.
    • We believe that we must dedicate ourselves to prayer, to the service of our Lord, to His authority over our lives, and to the ministry of evangelism. Matthew 9:35-38; 22:37-39, and 28:18-20; Acts 1:8; Romans 10:9-15 and 12:20-21; Galatians 6:10; Colossians 2:6-10; 1 Peter 3:15.
    • We believe that human life is sacred from conception to its natural end; and that we must have concern for the physical and spiritual needs of our fellowmen. Psalm 139:13; Isaiah 49:1; Jeremiah 1:5; Matthew 22:37-39; Romans 12:20-21; Galatians 6:10.