Missions Volunteers

Personal Information

Name (First, Middle, Last - as it appears on your passport)

Address

Phone

Cell Phone

This address will receive a confirmation email

DOB (m/d/y):

Age

Birthplace

Health Information

Do physical conditions, limitations, or illnesses prevent you from participating in a rigorous activity? If yes, please explain:

Because there will not be food like in the USA, can you eat whatever food is served? (Remember that not eating could be considered an insult to our host). If not, please explain.

Do you have any known allergies, including food allergies or intolerances? If yes, please explain.

*A list of the medications/dosage information and your blood type will be carried with your passport in case of emergency. (initial here)

Section 1: Construction

What is your occupation?

Do you have construction skills?

Yes No

Please rate your skill level.

Beginner Mid-Level Advanced

Section 2: Medical

What is your occupation? (please specify if you are a student)

List your license number if applicable

Not all parts of medical trips will require you to perform medical tasks. Depending on the need, you may be helping with crowd control, cleaning instruments, matching lab results, etc. Are you ok with performing such tasks?

Yes No

Are you up to date on standard vaccines?

Yes No

Even on medical trips, we will be evangelizing. It is standard for us to offer prayer with each patient if they are welcome to the idea. Are you comfortable with praying for others?

Yes No

Section 3: Ministry

Relevant Skills and Experience: Please describe your experience in ministry, leadership, teaching, evangelism, or working with a religious organization. This could include leading Bible studies, speaking at church events, youth group leadership, etc.

Experience 1

Experience 2

Experience 3

Spiritual Information

Are you a Christian?

Yes No

If yes, please list your salvation year/date

Please describe your involvement/Volunteer area in the church

Do you attend more than once a month?

Yes No

Have you ever been on a mission trip (whether with w/ LSCC or another church)?

Yes No

If yes, please list what year, where you went, and what you did.

What are your expectations for this trip?

What is your personal goal for this trip?

Code of Contact

“Let us, therefore, make every effort to do what leads to peace and to mutual edification.”

Romans 14:19 NIV

As a follower of the Lord Jesus, our conduct should be a witness to others of a transformed life. Paul wrote to Titus, “And show your own self in all respects to be a pattern and a model of good deeds and works, teaching what is unadulterated, showing gravity [having the strictest regard for truth and purity of motive], with dignity and seriousness. And let your instruction be sound and fit and wise and wholesome, vigorous and irrefutable and above censure, so that the opponent may be put to shame, finding nothing discrediting or evil to say about us” Titus 2:7-8

As a Missions Team Member:

I realize the important role I serve as an example to those in the United States and abroad. I understand that I represent Lone Star Cowboy Church, Assemblies of God World Missions, and, most importantly, Jesus Christ. (initial here)

I will refrain from purchasing or using alcohol, tobacco, or drugs, nor use any unwholesome speech or coarse jesting that will distract from my Christian testimony, cause division, or demonstrate disrespect to the national church, missionary, and Lone Star Cowboy Church. (initial here)

If I am fluent in the language of the country we are working in, I may or may not be asked to translate based on the discretion of the Team Leader. (initial here)

I understand that at no time will jesting, joking, or suggesting in any form be allowed involving going to America to the native person or persons. They could see it as a promise because America is a desired destination for many. (initial here)

I will refrain from any promises of gifts or employment while on the trip of any form (washing clothes, purchasing snacks or treats for kids) without the permission of the Team Leader. (initial here)

I will refrain from leaving personal items in the country when exiting without the permission of the Team Leader. (initial here)

I will refrain from giving gifts to the native people or promising to send gifts back to any person. (initial here)

I will always refrain from going directly to the missionary on a job site to make personal arrangements for a job to be done on the site. The job assignments are made at the discretion of the LSCC Construction Manager and will come through him or her unless other arrangements are made. (initial here)

I agree that the Team Leader will handle all individual or team issues privately. If the issue(s) continue without resolution, I will return to the United States at the discretion of the Team Leader. I understand all additional expenses for an early return to the USA will be my financial responsibility, and no refunds for the trip will be given. (initial here)

The Code of Conduct is required to ensure a fulfilling experience for each team member, the cohesion and safety of team members, and a good reputation for God and LSCC. I promise to forgo my convictions if they contradict this code of conduct to maintain unity and avoid controversy with the mission team, team leader, missionary, or natives.

I understand that the Team Leader will deal with any lack of adherence to the Code of Conduct swiftly and adequately. Therefore, by signing my name below, I hereby state that I have read and agree to abide by Lone Star Cowboy Church’s Missions Trip Code of Conduct.

Above all, you must live as citizens of heaven, conducting yourselves in a manner worthy of the Good News about Christ. Then, whether I come and see you again or only hear about you, I will know that you are standing together with one spirit and one purpose, fighting together for the faith, which is the Good News. Philippians 1:27, NIV

Accept other believers who are weak in faith, and don’t argue with them about what they think is right or wrong. Romans 14:1, NLT

Always be humble and gentle. Be patient, making allowance for each other’s faults because of your love. Ephesians 4:2, NLT

Name

Date

Additional Information

A background check is required by all individuals attending a mission trip.

Return flights from smaller countries may be delayed due to unforeseeable circumstances; prepare your work and family at home to make this possible.

Cell service or wi-fi is absent in some areas we travel.

All LSCC adult mission trips are for ages 18 and above.

All applications are subject to review for approval or disapproval. Notification of approval or disapproval will be given by email.

Do you speak any foreign languages? If yes, please list and rate the level of fluency:

The protocol for gift-giving or leaving personal items is as follows: Ask the team leader, who will ask the missionary if it is okay. The missionary has the final say. The Team Leader will let the team or individual know what can or cannot happen. The item(s) will then be given to the missionary for distribution according to their discretion unless they choose otherwise. The reason for this is our team can go home, but the missionary must stay and deal with any issues we create through favoritism or the expectations of the people they minister to.

Missions Volunteers

Description

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