HAITI 2019 Missions Application

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Primary Phone
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Address
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Birthdate
Emergency Contact Info
Name *
Name
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Questions
Participation Agreement I understand that my Northwest Gospel Church mission will have three parts that are lived out in community with the team: Learn (learning in community 3-4 months prior to leaving), Live (living out what we learn in service to the Haitian people and our team members while on the trip), Lead (using what I learn and experience to further the mission to which God has called me and to support others in their calling as well). By applying to join this short-term mission I am stating that I will be fully engaged and present during all three stages of the experience. As a team member, I agree with the Northwest Gospel Church (NGC) missions vision: to be the church locally and global­ly as we seek to bring the Gospel to the lost and teach them to learn, live, and lead others to the Gospel. I commit to pray for our trip. Going forward, I commit to be involved with global and local missions to the best of my ability through prayer and giving. I realize I am called to live a life that reflects the character of God as well as serve as an example to others. I understand that I represent not only myself, but also Jesus & NGC. In respect to NGC and its faith-based partners, I understand that I may be asked to be sensitive to local culture issues so to not offend any local partners. I commit to refrain from using drugs, alcohol, tobacco, sexual relations outside of marriage, theft, violence, etc. I further under­ stand that I am not to begin or pursue a romantic relationship with any foreign nationals or local workers, team members, or anyone else during the trip. I have read, understand, and agree to abide by this policy, and I affirm that I do not have any criminal convictions related to sexual misconduct with an adult or minor, nor do I know of any reason I should not be allowed to work with adults or minors as a volunteer. I also understand NGC will conduct a background and/or reference check on all prospective participants. Your participation is contingent upon clearance of such background and/or reference check, as applicable. Short-Term Missions Financial Policy COST: The cost per person generally includes: Airline tickets, all accommodations (lodging), food, tips, taxes, all transportation (taxi, bus, etc.), departure tax and visa. It does NOT include cost of passport, medications or immunizations, personal items, or spending money. EARLY RETURN HOME POLICY: Should it be necessary for the Participant to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs and responsibility. LETTER SOLICITING SUPPORT: You may submit requests for Financial Support to outside sources, work friends, family friends, businesses and other organizations. All written requests must include the following statement: All donations are to be made payable to Northwest Gospel Church. Because these gifts are tax-deductible, they are non-refundable according to the IRS. Funds will be used for airfare, lodging, transportation, projects and other expenses related to our team’s trip. FUNDRAISING: You may participate in fundraising to raise money for a mission trip provided you observe the following criteria: Do not hand out, post, or mail flyers of any kind to church members or on church property without approval of the Team Leader. You may fund-raise in the name of Northwest Gospel Church mission team to your mission field. You may do garage sales, car washes, etc. All fundraisers must be coordinated and pre-approved through your Team Leader. Liability Release If accepted as a member of this mission team, I agree to: Release and discharge the organizations and individuals which helped make these arrangements, including Northwest Gospel Church, their agents, employees, officers, and volunteers, from all claims, demands, actions, judgments, or executions that I have ever had, or now have, or may have, or which my heirs, executors, administrators, or assigns may have or claim to have against these organizations, their agents, employees, officers and volunteers, and their successors or assigns, for all personal injuries, known or unknown, and injuries to property, real or personal, caused by, or arising out of this journey. I intend to be legally bound by this statement. Acknowledge that by engaging in this journey, I am subjecting myself to certain risks voluntarily, including and in addition to those risks that I normally face in my personal and business life, including but not limited to such things as health hazards due to poor food and water, diseases, pests, and poor sanitation; potential danger from lack of control over local population; potential injury while working; and inadequate medical facilities. I hereby grant Northwest Gospel Church permissions to use, reproduce, and or distribute photographs, films, video and sound recordings of me or my child without compensation or approval, for use in materials created for purposes of promoting the activities of Northwest Gospel Church, including the internet. My completed and signed application indicates my desire to participate in this short-term mission trip and my agreement to the related Northwest Gospel Church policies as outlined above and agree to follow stated guidelines. If you are signing this application electronically, you agree your electronic signature is the legal equivalent of your manual signature on this application.
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Date Signed
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