THIS PART OF THE APPLICATION IS NEEDED FOR EITHER MISSION IN JUNE:
What grade are you in? ________
(Students)
What is your occupation?
(Adults)
Have you ever traveled outside the USA?______If yes, where, when, and why?
A passport is required.
Do you have a valid US passport? ________ If yes,
Number:
Expiration date:
MINISTRY INFORMATION
Have you ever been a member of a US or foreign mission team? __ ___ (If yes, with whom and where)
What do you like to do (e.g., worship, helping, crafts, dance, mime, drama, sports, construction, sing, play musical instruments, puppets, ect)?
Have you ever attended a mission conference or participated in any mission training program? _________ If so, when & where?
Why do you feel called by God to this particular mission trip? Please explain.
What do you feel you can contribute in the way of skills or talents to this team?
Do you have any musical ability? ______If yes, what instrument?
Are there any major concerns about this trip?
MEDICAL INFORMATION
Any major illness during the past year? ____If yes, explain:
Do you take medication regularly? ________ If yes, explain:
Any allergies? _______If yes, explain:
Is your tetanus shot current? _______
Have you been treated or hospitalized for a mental or emotional condition in the last 5 years? _______ If yes, please explain:
Any physical limitations/disabilities? ______ If yes, please explain:
IF I AM ACCEPTED TO BE ON THIS MISSION TEAM, I UNDERSTAND AND AGREE TO MEET THE FOLLOWING REQUIREMENTS:
I will be responsible for the financial support of my trip, including housing, meals, airfare, necessary immunizations, and passport. I understand that a valid U.S. passport is required.
For the success of this mission and well being of the whole team, I will submit to the authority set over the team both in the U.S. and in the country where we minister. I understand that I am expected to attend ALL preparation and training sessions. The team training sessions are as follows and includes lunch:
Initial Gathering & Training:
Parents &Team Members January 30th
at the Rhodes’/Trinity, BR 10 AM—12 PM
$100.00 deposit required at this initial gathering
Session 1 February 20th @ Rhodes’/Trinity, BR 10 AM—3 PM
Session 2 March 20th @ Rhodes’/Trinity, BR 10 AM—3 PM
Session 3 April 17th @ Rhodes’/Trinity, BR 10 AM—3 PM
Session 4 May 29th @ Rhodes’/Trinity, BR 10 AM—3 PM
Commissioning May 30th at your home church worship service
I will cooperate with the team leader’s directives and decisions before and during the trip, understanding that the leader may at any time ask me to leave the team for the well being of the team.
During the trip, I will accept conditions that may be different and uncomfortable compared with those I am used to in the U.S., particularly in regard to cleanliness, sanitary facilities, and food safety. So that I will not hamper the team through avoidable illness, I will acquire all recommended immunizations and will carefully follow the health guidelines established for the team. I will respect the mores of the culture in which I will be ministering and will agree to follow recommended dress standards. I also agree not to smoke or drink alcoholic beverages at any of the team meetings, while in the country that we are ministering, or in traveling to and from said country.
I certify that all of the information I have supplied in this application is true to the best of my knowledge.
__________ ______ ____________________
Signature Date
Please return this form to Fr. Joe Rhodes at:
2280 Clematis Trail
Sumter, SC 29150
Joetina71@aol.com
RETURN BY December 12, 2009
FIRST MISSION TRIP--JUNE 4-17, 2010
HONDURAS 2010
SHORT TERM - MISSION APPLICATION
DESTINATION: Tegucigalpa, Honduras
MINISTRY: High School Retreat & VBS at St. Mary’s School
Retreat & VBS at El Hogar Orphanage
VBS at San Isidro, El Cruce
SECOND MISSION TRIP--JUNE 21-JULY2
HONDURAS 2010
SHORT TERM - MISSION APPLICATION
DESTINATION: La Ceiba, Roatan, & Tela, Honduras
MINISTRY: Teaching Mission & projects
EACH MISSION TRIP WILL COST: Around $1,850.00
PERSONAL INFORMATION: Please type or print clearly.
Name:
(First) (Middle) (Last)
Address:
City: State: Zip:
Telephone: (H)
(Cell)
E-mail:
Birthdate: Gender (M/F) Single/Married: How Long?:
Home Church:
Address:
City: State: Zip:
Who will be your Contact Person:
Name:
Phone:
Email:
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