Please read this entire document before filling out the application.
Complete the application, medical release, and release & indentification agreement and return them, along with your $--- deposit to the Suncrest Christian Church for processing.
*Suncrest Christian Church reserves the right to cancel a trip.
Fund-raising is an integral part of your short-term mission experience. Don’t let money keep you from applying for a short-term trip. God could be waiting for an opportunity to show you how big He is! Detailed fund-raising guidelines and materials will be provided at trip meetings.
Here are some inevitable costs that are your personal responsibility and separate from the cost of the mission trip.
• The $--- deposit that is submitted with your application is your responsibility. In addition, if our fund-raising efforts are not entirely successful, the balance of the trip cost is also yours to pay.
• Required for all trips out of the continental
• To obtain a passport, you will need a certified birth certificate (not the hospital record), two passport
photos and a driver’s license. In addition, you will need to pick up and fill out a form from the post office and turn in the information to a postal clerk for processing with the U. S. Passport Agency. All of this can cost $65 - $100, depending on when you apply. You should allow six to eight weeks for your passport to arrive. Also, remember that it sometimes takes state agencies several weeks to provide a certified record of your birth if you don’t currently have one.
• Further passport services and information is available: http://travel.state.gov/passport_services.html
• The Missions Ministry supports the immunizations that are recommended by the Center for Disease Control. Please consult your physician to determine which vaccinations are recommended.
• Vaccinations are not included in the price of the trip.
• Choose a provider at least 4–6 weeks before your trip to allow time for shots to take effect.
STATEMENT OF FAITH
Statements of faith are important. They provide an objective system to help us understand where churches stand. This is a shortened version of our Statement of Faith, for the application process. Our entire system of belief is based on the Bible. We believe that scripture in its entirety originated with God and was intended for use by man in all matters of faith and conduct. Therefore simply put, we believe everything the Bible teaches. The Bible teaches that God is the Sovereign Creator and the Lord of all that exists. The Bible teaches that sin separates us from God. The Bible teaches that Jesus Christ is God’s eternally existing son. The Bible teaches that the Holy Spirit is God who comes to live within every believer at conversion. The Bible teaches that Human Beings, though created in the very image of God, have chosen to disobey God by sinning. The Bible teaches that Salvation is purely the act of God.
The Suncrest Christian Church Statement of Faith is provided in its entirety as the last page of this application.
If you are interested in participating in a short-term mission trip with Suncrest Christian Church during 2006, please read the following:
You must submit this completed application AND a $--- deposit before your application will be processed and reviewed. The $--- check will be deposited in the bank immediately. In the event your application is not accepted, your $--- will be returned to you.
Participants must adhere to rules outlined in the Team Covenant and Statement of Faith. Please read it before applying.
No one will be considered or accepted as a team member until a completed application and deposit are received.
Your application will be reviewed and a personal interview may be required. You will be notified by the Missions Ministry as to the status of acceptance.
Short-term mission trips can be rewarding and life-changing; however, they can also be stressful. Please consider factors in your personal life at this time that may distract and prohibit you from fully committing to the mission of the trip and adapting to unusual conditions.
You will be notified of acceptance. Once accepted, team members are expected to attend ALL team meetings.
Children on
All trip costs are the team member's responsibility and due as specified in your trip packet. Your Team Leader will provide ideas that suggest ways to raise financial support; however, if full support is not raised, the balance is your responsibility. You may not begin to raise funds until you are notified of acceptance to the team and informed of proper fundraising procedures.
If you are unable to participate in your trip, the Missions Ministry must receive cancellation notice as soon as possible. You may be responsible for all trip costs. Monies put towards mission trips are contributions, and the Internal Revenue Service prohibits the refund of contributions.
Some trips may be prohibitive for certain physical conditions. Please make the Missions staff and your team leader aware of these conditions.
Team members will be given information regarding passports and vaccination recommendations from the team leaders. Passport and vaccination costs are not included in the trip costs and are the responsibility of the team member. Team members assume the responsibility and liability for their personal health decisions.
K Special Thanks to Southeast Christian Church for providing the basis for this document. ©2002 Southeast Christian Church of Jefferson County, Kentucky, Inc. All Rights Reserved.
2002 Southeast Christian Church of Jefferson County, Kentucky, Inc. All rights Reserved.
TEAM COVENANT
1. Remember that I am representing Jesus Christ as well as Suncrest Christian Church. I will model Jesus in my behavior and attitude.
2. Remember that I am a guest working at the invitation of my hosts. I will remember the missionary’s prayer, “Where you lead me I will follow; what they feed me I will swallow.”
3. Remember that we have come to learn, as well as to teach. I'll resist the temptation to inform our
hosts about “how we do things.” I'll be open to learning about other people’s methods and ideas.
4. Respect the host’s view of Christianity recognizing that Christianity has many faces throughout the world and that the purpose of this trip is to experience faith lived out in a new setting.
5. Develop and maintain a servant attitude toward all nationals and my teammates.
6. Respect my team leader(s) and his or her decisions.
7. Refrain from gossip.
8. Refrain from complaining. I know that travel can present numerous unexpected and undesired
circumstances, but the rewards of conquering such circumstances are innumerable. Instead of whining and complaining, I'll be creative and supportive.
9. Attend all team meetings before the trip as well as any follow-up meetings.
10. Remember not to be exclusive in my relationships. If my boyfriend/girlfriend or spouse is on the team, we will make every effort to interact with all the members of the team. If I am attracted to a teammate, I will not attempt to pursue a relationship until after we return home.
11. Refrain from any activity that could be construed as romantic interest in a national or teammate.
12. Refrain from illegal drugs and abstain from consumption of alcoholic beverages or the use of tobacco in any form while on this trip.
13. Observe and practice the Statement of Faith included in this packet.
14. Refrain from the teaching or practice of any belief that would not be endorsed by Suncrest Christian Church.
15. I agree to abide by the fund-raising procedures endorsed by Suncrest Christian Church and will
personally thank all financial donors that contribute to my trip.
16. Remember that I can be sent home if I do not adhere to this Covenant or if my Team Leader believes it is in my best interest or that of the team.
Signed:_______________________________________________Date:__________________________
OFFICE USE ONLY:
Date App & Dep Rec’d:_________________Trip:_________________________________
ENCLOSE deposit of $_____ (non-transferable)
The information on this form will be kept confidential and is for use by the Suncrest Christian Church Missions Ministry only.
Personal Data (Please print or type)
Legal name: ____________________________________________________________________
(Last) (First) (Middle)
(As it appears on your passport.)
Address: ____________________________________________________________________________
(Street) (City) (State) (ZIP)
Email Address: ______________________________________________________________________
Home Phone: ( )____________ Work Phone: ( ) ______________
Place of Birth: _________________________ Date of Birth: _______________Age: _________
__ Male __ Female Marital status: __ S __ M __ D __ W
Occupation:
Please describe your present employment and any pertinent information regarding work experience related to missions.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Do you have a criminal record? __ Yes __ No (If yes, please explain on an attached sheet.)
Other family members applying for this trip
(if applicable):__________________________________________________________________
If under 18 years of age — Name(s) of parent(s) or guardian(s): ________________________________
Home Phone: ( )___________________ Work Phone: ( ) ___________________
Suncrest Involvement
Are you a member of Suncrest? __ Yes __ No How long? _______
If not a member, are you a regular attender? Yes___ No____ How long? _______
Have you served in a ministry at Suncrest? __ Yes __ No
Which ministries/How long? _____________________________________________________________________________________________________________________________
Are you involved in a small group study at Suncrest? __ Yes __ No
If so, which class(es)? ___________________________________________________________
What ministries/organizations outside of Suncrest are you involved in?_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Language Fluency:
Language Number of Years Conversational Fluency (Fluent, Fair, Poor)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Please write the appropriate CODE next to your skills/talents.
CODES: AVG= Average : GOOD = Better than average : PROF = Professional
I. CONSTRUCTION V. MEDICAL
______ A. Carpentry ______ A. Nursing
______ B. Painting ______ B. Physician
______ C. Masonry/Carpentry ______ C. Dental
______ D. Roofing ______ D. E.M.T.
______ E. Electrical ______ E. C.P.R.
______ F. Plumbing ______ F. Therapy (P.T.; O.T.; other)
______ G. Other ____________ ______G. Other ________________
II. BUSINESS VI. MUSIC
______ A. Computers ______ A. Instrument (name)_____
______ B. Accounting ______ B. Vocal ____________
______ C. Other ____________ ______ C. Other ____________
III. SPORTS VII. OTHER PERFORMANCE
______ A. Basketball ______ A. Juggling
______ B. Baseball ______ B. Clowning
______ C. Soccer ______ C. Puppetry
______ D. Softball ______ D. Drama
______E. Volleyball _______E. Other
What position do you play? _____________________
Coaching experience? _____________________________________________________________
IV. MINISTRY EXPERIENCE
______ A. Teaching Ages:_____
______ B. V.B.S.
______ C. Crafts
(not all of these areas may be offered on all trips)
Personality Profile
1. Have you completed the Discovery Seminar at Suncrest? Yes___No____ If so, what are your top three spiritual gifts?
____________________________ ____________________________ ___________________________
2. Describe how OTHERS view your personality:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
3. Describe your personal STRENGTHS:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
4. Describe your personal WEAKNESSES:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
5. Are you comfortable sharing your faith with others? _____ Yes _____ No
6. How would you describe yourself: ___ introvert ___ extrovert
___ intuitive ___ fact oriented
___ feeling ___ thinking
___ perceptive ___ decisive
Outline the mission trips you have taken, if applicable. Include how long you were on each trip, where
you went, and what impact each trip had on your life.
Trip Name: __________________________________________________________________________
Trip Dates/Year: _____________________________________________________________________
Lessons Learned: ____________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Trip Name: __________________________________________________________________________
Trip Dates/Year: _____________________________________________________________________
Lessons Learned: ____________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
My Personal Relationship with Jesus Christ & Mission Goals
1. When did you become a Christian?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
2. Describe your personal relationship with Jesus Christ.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
3. Why would you like to participate in this trip?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
4. What would make this mission trip a success for you?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
5. Have you spoken to your family (parents/spouse/children) regarding this trip? ____ Yes ____ No
6. How was their response to your decision to go on this trip? ____ enthusiastic ____ skeptical ____ negative ____ supportive
7. Do you have any questions or concerns regarding this short-term mission trip? ___________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Character References. Please include friends, co-workers, etc. No relatives please.
Name:______________________________________________ ________________________________
Address:_____________________________________________________________________________
Phone: ________________________________ Relationship: __________________________________
Name:__________________________________ ____________________________________________
Address:_________________________________ ___________________________________________
Phone: ________________________________ Relationship: __________________________________
Name:__________________________________ ____________________________________________
Address:_____________________________________________________________________________
Phone: ________________________________ Relationship: __________________________________
I understand and agree to the following policies:
I have included my $--- deposit that is due with this application and I understand that the deposit and all contributions are not refundable.
I have read and accept the “Policies and Procedures” and “Consider the Cost of Short-term Missions.”
If I cancel, I am responsible for full payment of the trip.
I have read and signed the Team Covenant and Statement of Faith. I will adhere to both if accepted to the Short-Term Mission Team.
I commit to attending and participating in the meetings pertinent for the trip(s) that I’ve applied for.
____________________________________________ _________________
Signature Date
Short-Term Missions Medical Information & Release
Name: ___________________________________ Birth Date: _________________
Address: ___________________________________________________________________________
City:
Home Phone: ( ) ______________________
Work Phone: ( ) ______________________
Medical Insurance Provider: ___________________________________________________________
ID # _______________________________ Group # _______________________________________
Will your medical insurance cover you out of the country? _____ Yes _____ No
Name of Primary Physician: ___________________________________________________________
Address: ___________________________________________________________________________
City:
Phone: ( ) ____________________________
Emergency Local Contact: _________________________
Relationship: _______________________
Address: ___________________________________________________________________________
City:
Home Phone: ( ) ______________________
Work Phone: ( ) _____________________
Please check if you suffer from any of the following medical conditions
__ Hypertension __ Hypoglycemia __ Bleeding Disorders __ Heart Disease
__ Seizures __ Insect Allergies __ Asthma __ Chronic Anxiety
__ Arthritis __ Diabetes __ Depression __ Glaucoma __ Migraines
Physical limitations – Please list: _________________________________________________________
__________________________________________________________________________________
List any medications (prescription or OTC) taken on a regular basis:
__________________________________________________________________________________
List Medical & Food Allergies: _________________________________________________________
__________________________________________________________________________________
Blood Type: ________
Have you had any surgery in the past three years: __ Yes __No
If so, please explain: _________________________________________________________________
In an emergency, I give my permission to a licensed physician to hospitalize or anesthetize me, or perform surgery on me. I understand that every effort will be made to inform my emergency contact before these actions are taken.
Signature: _________________________________________Date: _____________________
Parent/Guardian Signature: ___________________________Date: ________________________
(only if participant is under 18 years of age)
Relationship to Participant:__________________________
Adult Release and Indentification Agreement
In consideration of the undersigned’s application for participation in a mission trip sponsored by Suncrest Christian Church of St. John, IN (the “Church”) and as an inducement to organizing the mission trip and permitting the undersigned’s participation agrees as follows:
The undersigned hereby fully and forever releases and waives and agrees not to cause to be brought any and all claims, demands, actions, or causes of action of every possible kind and nature whatsoever the undersigned might assert, including, without limitation, claims for personal injury, wrongful death, or property damage, whether or not absolute, now or unknown, or otherwise against the Church or any of its trustees, elders, officers, employees, agents and volunteers (collectively referred to herein as the “Releasees”) by reason of, arising out of or relating to the undersigned’s participation in a church mission trip. The undersigned further agrees to indemnify, defend and hold the Releasees harmless from damages, including, without limitation, special, incidental and consequential damages, losses or expenses suffered or paid, directly or indirectly, as a result of any and all claims, causes of actions, suits, proceedings, demands, judgments, assessments, and liabilities, including reasonable attorneys’ fees incurred in litigation or otherwise, assessed, incurred or sustained by or against the Releasees by reason
of, arising out of or relating to the undersigned’s participation in a Church mission trip. The undersigned further agrees that this Release and Indemnification Agreement (the “Agreement”) is binding upon the undersigned’s heirs, executors, administrators, assigns and legal representatives; that this Agreement releases all successors, assigns and legal representatives of the Releasees; and that this Agreement is to be governed by the law of the State of
that any and all cost incurred by the undersigned during the mission trip, including, without limitation, costs due to health problems, emergencies and death, are the responsibility of the undersigned or estate of the undersigned. The undersigned certifies that the information provided in the undersigned’s application for participation in the Church mission trip is true, complete and correct and acknowledges that the undersigned has read and understands this Agreement; that the undersigned has not relied in signing this agreement on any statement, oral or otherwise, by the Church; and that it is the undersigned’s intention with this Agreement to make a complete, general and unconditional release of any and all claims whatsoever against the Releasees as set forth above.
IN WITNESS WHEREOF, the undersigned hereby executes this Agreement on the date set forth below.
Date: _______________________Signature: _______________________________________________
Printed Name: _____________________________________________
Youth Release and Indentification Agreement
The undersigned enters into this Agreement as the parent or legal guardian of the below-named minor __________________________________________.
In consideration of the undersigned’s application for participation in a mission trip sponsored by Suncrest Christian Church of St. John, IN (the “Church”) and as an inducement to organizing the mission trip and permitting the undersigned’s participation agrees as follows:
The undersigned hereby fully and forever releases and waives and agrees not to cause to be brought any and all claims, demands, actions, or causes of action of every possible kind and nature whatsoever the undersigned might assert, including, without limitation, claims for personal injury, wrongful death, or property damage, whether or not absolute, now or unknown, or otherwise against the Church or any of its trustees, elders, officers, employees, agents and volunteers (collectively referred to herein as the “Releasees”) by reason of, arising out of or relating to the undersigned’s participation in a church mission trip. The undersigned further agrees to indemnify, defend and hold the Releasees harmless from damages, including, without limitation, special, incidental and consequential damages, losses or expenses suffered or paid, directly or indirectly, as a result of any and all claims, causes of actions, suits, proceedings, demands, judgments, assessments, and liabilities, including reasonable attorneys’ fees incurred in litigation or otherwise, assessed, incurred or sustained by or against the Releasees by reason
of, arising out of or relating to the undersigned’s participation in a Church mission trip. The undersigned further agrees that this Release and Indemnification Agreement (the “Agreement”) is binding upon the undersigned’s heirs, executors, administrators, assigns and legal representatives; that this Agreement releases all successors, assigns and legal representatives of the Releasees; and that this Agreement is to be governed by the law of the State of