ORIENTATION MANUAL

FOR SHORT TERM MISSION TEAMS 2010

GLOBAL MINISTRIES FELLOWSHIP AFRICA SHORT TERM TEAM INFORMATION FORM

FULL NAME_______________________________________________________________________________

CHURCH:____________________________________________________________________________
NO. OF YEARS IN MEMBERSHIP_____________

DATE OF MISSION TRIP:________________________________________________________________________________

PASSPORT NUMBER:________________________________________________

DATE OF EXPIRATION:_______________________________________________

CURRENT OR LAST EMPLOYER (IF STUDENT, NAME OF SCHOOL)____________________________________________________________________________

POSITION HELD (OR YEARS IN SCHOOL):____________________________________________________________________________

RETIRED YES/NO______ ADDRESS:_____________________________________________________________________

SKILLS, TALENTS(CARPENTRY, MUSIC, TEACHER,ETC.) ____________________________________________________

___________________________________________________________________________________

EMERGENCY CONTACT NAME:_______________________________________________________________________________

PHONE NUMBER____________________________________________RELATIONSHIP____________________

ARE THERE ANY KNOWN MEDICAL PROBLEMS WHICH WOULD HINDER INVOLVEMENT IN STRENUOUS WORK ACTIVITIES?:_________________________________________________________________________

____________________________________________________________________________________

LIST ANY REASONS AND DATES OF PRIOR HOSPITALIZATIONS THE LAST YEAR:______________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

ARE THERE ANY KNOWN ALLERGIES (INCLUDING MEDICATIONS, BEE STINGS, ETC.)?_____________________________________________________________________________

____________________________________________________________________________________

LIST COUNTRIES AND DATES OF PREVIOUS VOLUNTEER SERVICE:____________________________________________________________________________

___________________________________________________________________________________

____________________________________________________________________________________

  I WILL UPHOLD THE STANDARDS IN THE SHORT TERM ORIENTATION MANUAL TO THE BEST OF MY ABILITY AND WILL REFRAIN FROM USING ALCOHOL OR TOBACCO OR OTHER BEHAVIOR THAT WOULD DAMAGE MY TESTIMONEY OF JESUS CHRIST WHILE SERVING/SIGHTSEEING OR TRAVELLING.

I HEREBY INDEMNIFY AND SHALL NOT HOLD GLOBAL MINISTRIES FELLOWSHIP AFRICA AND ITS WORKERS OR DIRECTORS RESPONSIBLE FOR ANY CLAIM OF ANY NATURE WHATSOEVER AND HOWSOEVER ARRIVING, WHETHER FROM INJURY TO MYSELF AND/OR MY FAMILY

.

SIGNATURE:__________________________________________________________

THE _____________________________________________________CHURCH

OF___________________________________________

WHOLE-HEARTEDLY RECOMMENDS THE ABOVE PERSON TO GLOBAL MINISTRIES FELLOWSHIP AFRICA AS SOUND IN HIS/HER FAITH AND SPIRITUALLY EQUIPPED TO SERVE ON THIS VOLUNTEER PROJECT.

SIGNATURE (PASTOR OR ELDER): :___________________________________________

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