Mission Group Registration

2011

SHORT TERM MISSION TEAM REGISTRATION

INTERNATIONAL MINISTRIES, ABCUSA

Introduction:

Thank you for answering God’s call to lead a short-term mission trip. Be prepared for God to work in, on and through you and the team as you go on this journey.

This Short-Term Mission Team Registration form is divided into two parts.

Team Information:

Please fill out these forms on your computer and email them back to . If you would prefer a form that you can write on, please call or email us and we will send one to you.

Important information for insurance, emergency, and follow-up purposes.

Covenant:

Please read, sign, and send back to us.

Important guidelines to follow as you represent International Ministries and the US church as a whole in another culture.

Legal Information:

This section ensures you and the team has an understanding of the health factors, liability, security considerations, and insurance background of this international mission trip. Please have each member read these forms, as team leader you will sign for all of the team and return it to International Ministries.

Once we receive the completed and signed forms, here is what we will do:

Add your team to the International Ministries Prayer Network.
Provide complimentary travel insurance that includes a limit of $100,000 for medical evacuation, $25,000 for accidental death/dismemberment, and $5,000 for specific in-country medical expenses. We will send the insurance cards and a summary of the policy prior to departure.
Send sample debriefing sessions from the new “Going with God’ resource available for sale to assist you in capitalizing on this experience upon your return.
Add anyone who expressed interest to the International Ministries Update and the Volunteer e-newsletter circulation list.
If you are interested, we can network you with other churches that have also gone to the same place.

Thank you for registering with us! We are delighted to be in partnership with you as you and your group answer the call to GO. God bless as you serve in Jesus’ name.

If you have any questions, please contact us!

The Volunteers in Global Mission Team (VIGM)

Angela Sudermann, Eunice Thetgyi, Herb Rogers

Email:

Phone: 800-222-3872 ext 2366

Fax: 610-768-2088

Part 1 - SHORT TERM MISSION TEAM REGISTRATION FORM

Just start typing in the boxes…they will expand as you type.

There are some boxes filled in already.

If you want to change the answer, click on the box and the drop down menu will appear.

STMTeam Name: Number of Participants:

Destination (Country & Town):Project Dates:

Have you been here before?If so, when? Missionary you are working with?

Purpose of Mission Trip:

What will you be doing?(Please be specific)

Local Church/Organization Information:

Church or Organization Name

Address:City: State: Zip:

Region:Pastor:

Telephone:Website:

Team Leader Information:

Name:

Address:

Telephone (day):Telephone (eve):

Email:

Emergency Local Contact Person (while team is out of the country)

Name:

Telephone (home):Telephone (cell): Email:

Group Member Information:

Please fill out a section for each team member.

Keep going…there are more pages! If you have more than 34 people on your team, email us and we will send you more pages.

Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it
Name: / Address:
City: / State: / Zip
Date of Birth: / Phone #: / Email:
HomeChurch (name, city, state):
Include me in the volunteers email update. / YesNoI'm already on it / Include me in the Int’l Ministries mail update: / YesNoI'm already on it

Part 2 - Covenant

Roles and Responsibilities of the Short Term Mission Team

As a short term missionary, whether an individual or part of a group, your role is to support, encourage, and serve the ministryalready in progress where you go. While you may expect to perform a single “task” on your mission, others often determine yourrole. You will actually serve in multiple roles:

To other missionaries you may be an encourager and assistant
To the local church, you may bring a needed skill.
To the local people you will be a guest of their country

Because of the different expectations of your work, you will need to be flexible, open, and adaptable- to be a servant. This role willbe particularly crucial in your relationship to both the local missionaries and to leaders of the host church.

How do short term missionaries relate to long-term missionaries, local church leaders, and pastors on the field? As a short-termmission team, you are the guest of the local church body. As a guest, your hosts will treat you with much respect and care. At thesame time, you feel a special call of God to help others with the skills you possess. A key word is “servant.” Short termmissionaries bring many talents and great energy to the international mission. You may see things that you do not understand andsome with which you may not agree! It will help if you keep these functions in mind before, during, and after your mission venture:

You are on the mission field at the invitation of local leaders and therefore are a guest. Be gracious!
You have responded to a specific assignment request, but you may be asked to do other tasks outside of yourassignment, or not even get to your specific assignment at all…Be flexible!
You are a representative of Christ, the Kingdom of God, International Ministries, and your local church. Your words andactions of love give witness beyond your own person to a collective community of Christians and the world atlarge……..Be Christ-like!
Your host, whether a long term missionary or a partner organization lives in the country and knows the culture and localsituation. Respect the wisdom of your host, learn the culture. …Be a servant!

International Ministries, the short term mission team, the international partner, or the host church, may need or choose to discontinue the service of a short term missionary or team atany time. Possible reasons for an abbreviated term of service may include conduct, interpersonal conflict,the changing nature of ministry needs in the location, medical issues, or increased security risk. During your time of service you have an opportunity to use your gifts to glorify God. Enjoy the journey and God will use youpowerfully among His people.

As team leader, I understand and affirm the importance of graciousness, flexibility, Christ likeness, and servanthood to the ministry of our short-term mission team. I will share these important principles with my team and pledge to uphold them throughout the mission experience.

Team Leader Electronic Signature: Date:

Part 3 - Legal Forms

VOLUNTEER HEALTH RESPONSIBILITIES AND RISKS

Please carefully read, complete, and sign this form indicating your understanding and concurrence. The completed form may be returned to the Volunteers in Global Mission Program at the address below.

I have volunteered for service with International Ministries/American Baptist Foreign Mission Society (the “Society”) as a (description of service) in (country), at (location) for (approximate time period). In connection with volunteering for this service, I have discussed with my team leader the health care responsibilities I will have and the health care risks I may face.

I understand that certain dangers that result from my travel in the pursuit of voluntary mission service are unforeseeable, such as illnesses without access to adequate medical facilities for treatment, political unrest that may result in injury, imprisonment or death. Accidents may occur with no advance notice. Hostilities may result in my being held hostage, or being stranded and not being able to return to home. I understand that this list of dangers is not comprehensive.

I understand that the dangers are beyond the control of the Society and/or international partner and host churches, but I still want to volunteer my services. I recognize that the Society’s policies prohibit it from intervening on my behalf should any calamity arise. I recognize that the Society will not pay any amounts to remedy my situation, including the payment of ransom or bribes.

I recognize most United States insurance policies do not cover me outside the United States and that I am responsible for securing medical insurance to cover my activities on the trip beyond the minimal travel insurance policy secured through the Society.

I understand that traveling, living, and working abroad may present health risks through illness or accident greater than those I may encounter in the United States. I know that access to effective medical care may be difficult abroad. I assume the responsibility to familiarize myself and talk with my personal physician regarding the risks attendant upon traveling, living, and working in the areas to which I will be going.

I also understand that I must take reasonable steps to minimize foreseeable risks to my health, and that of others, by taking necessary precautions before and while traveling, living and working abroad. I will adhere to the health and safety practices, policies and precautions in any mission community that I join or visit.

I realize that there are health risks, which can be encountered overseas including, among others, the risk of contracting Hepatitis and Acquired Immune Deficiency Syndrome (AIDS). I am aware that AIDS can be contracted through bodily fluids. I understand that in some countries, tests for the presence of AIDS antibodies are mandatory for all foreigners—before, during or at the close of their stay. I understand that a foreign government may condition entrance to, visitation in or departure from a country upon the satisfactory results of such medical tests. I will cooperate with my group and the Societyand comply with any such governmental condition or requirement. I understand that various inoculations and vaccinations may be required or advisable prior to traveling to the country or countries where the mission to which I am assigned is located. I acknowledge that it my responsibility to determine which inoculations and vaccinations are required and I have received all such required treatments.

If my spouse or any minor child or other person who is my dependent is accompanying me, I understand that I will be responsible for the health care of such person. I acknowledge that I have considered and discussed with each such person the health needs of and health risks to them and, if appropriate, to others, in accordance with the foregoing. With respect to any such person, I will comply with the requirements set out above, and I will use my best efforts to have such person comply with those requirements

VOLUNTEER REQUEST AND RELEASE FORM

I hereby request permission to assist, as a volunteer worker, in the charitable and religious work of International Ministries/the American Baptist Foreign Mission Society (the “Society”), a non-profit organization. I understand that in rendering such volunteer assistance in the work of the Society I shall under no circumstances be deemed an employee of the Society for any purpose, although (1) during the course of such volunteer work the Society or its agents may reimburse me for all or part of my personal expenses or may provide with me and my spouse and minor dependents with room or board and (2) such volunteer work may be performed by me under the guidance of the Society. I also hereby request that my spouse, minor child or children and/or other person who is dependent on me be given permission to accompany me.

I have reviewed and signed the International Volunteer Health Responsibilities and Risks. I have read this document thoroughly and agree to all terms. I have had an opportunity to consult with an attorney before signing them.

In consideration of the grant by the Society of the permission I hereby request, I agree that I shall perform such volunteer work at my own risk.

I, for and in consideration of being permitted to participate in the mission of the Society as a volunteer, and other valuable consideration received from the Society, the receipt of which I hereby acknowledge, hereby waive, release, and forever discharge the Society, of and from all manner of actions, causes of action, suits, debts, covenants, contracts, agreements, promises, claims and demands whatsoever, which I have, or which my personal representative, successor, heir or assign, can or may have, against said the Society, by reason of or related in any way to my participation in the mission sponsored by the Society .

I agree to indemnify the Society from all liabilities arising in favor of third parties resulting from my conduct while serving as a volunteer on a mission, preparing for a mission, or traveling to or from the location of a mission.