Suncrest Missions Trip

 

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.

 

Consider the Cost of Short-Term Missions

 

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.

 

DEPOSIT & BALANCE

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.

 

PASSPORT

Required for all trips out of the continental U. S. Apply now for your passport!

• 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

 

IMMUNIZATIONS

• 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.

  

POLICIES & PROCEDURES

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 Mission trips – Children under the age of 12yrs. are encouraged to serve alongside their parents at the Great Day of Service through Suncrest Christian Church.  Jr. High students traveling with parents will be required to fill out an application, and the final decision will be made by the Mission board.  No Jr. High students will be allowed to travel alone.  Sr. High students who desire to travel on a mission trip with out parents will be required to fill out an application and under go an interview before approval is made.

 

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.


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)

 

APPLICATION

 

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)

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

 

Skills & Talents

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

 

Mission Experience

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: ______________________________ State: ______ ZIP: __________________

 

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: _____________________________________ State: ____________ ZIP: __________________

 

Phone: ( ) ____________________________

 

Emergency Local Contact: _________________________

Relationship: _______________________

 

Address: ___________________________________________________________________________

 

City: _____________________________________ State:________ ZIP: __________

 

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 Indiana. The undersigned further agrees that the execution of this Agreement is continuing in nature; it is the undersigned’s knowing and voluntary act; the undersigned does not intend to participate in the mission trip until and unless the undersigned has had full opportunity to the undersigned’s satisfactions to inspect and determine the scope of the mission trip and receive all information from the leader or Church Mission Department which bear on the undersigned’s decision to participate; and the undersigned is under no duress or undue influence to execute this Agreement.The undersigned hereby grants full permission to the Church to use any photographs, videotapes, motion pictures, recordings, or other records or documents of the mission trip and to do so without notice or compensation to the undersigned. The undersigned acknowledges that the Church has made available applications for travel insurance and aggress that it is the undersigned’s responsibility to purchase travel insurance. The undersigned assumes responsibility for full payment of the published and announced cost of the mission trip; aggress to pay any outstanding balance upon request by the Church; and aggress

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 Indiana.  The undersigned further agrees that the execution of this Agreement is continuing in nature; it is the undersigned’s knowing and voluntary act; the undersigned does not intend to participate in the mission trip until and unless the undersigned has had full opportunity to the undersigned’s satisfactions to inspect and determine the scope of the mission trip and receive all information from the leader or Church Mission Department which bear on the undersigned’s decision to participate; and the undersigned is under no duress or undue influence to execute this Agreement.  The undersigned hereby grants full permission to the Church to use any photographs, videotapes, motion pictures, recordings, or other records or documents of the mission trip and to do so without notice or compensation to the undersigned. The undersigned acknowledges that the Church has made available applications for travel insurance and aggress that it is the undersigned’s responsibility to purchase travel insurance. The undersigned assumes responsibility for full payment of the published and announced cost of the mission trip; aggress to pay any outstanding balance upon request by the Church; and aggress 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: _______________________

Parent or Legal Guardian: _____________________________

 

Signature: _________________________

 

Printed Name: _____________________________________________