We are so thrilled that you are interested in joining Project 82 on a Mission Trip to Kenya. We know that blessings will be poured out on you, your team, and those you meet and serve in Kenya.
The purpose of the PROJECT 82 mission experience is to provide an opportunity for the body of Christ to demonstrate the awesome and perfect love of God to the orphans and communities where we serve. The following standards and policies exist in efforts to create an inspiring environment that honors Christ, and encourages people in their relationship with Him, while also being culturally sensitive.
Please review and complete these forms, which need to be signed and notarized, and return it to our office as soon as possible. If at any time you need assistance or have any questions, please contact Gayle Haden at 770-977-7114 or .
Requirements for Team Members Traveling to Kenya with Project 82 Kenya:
All team members must complete and submit to PROJECT 82 this complete application for a Short Term Mission Trip with a deposit of $500 payable to PROJECT 82 Kenya 90 days prior to departure.
All team members must be covered by a travel insurance plan. Unless otherwise requested, PROJECT 82 will purchase the policies for the team and include it in the trip cost for each team member. If a group decides to purchase their own policy, copies of the plan certificate must be provided to PROJECT 82.
All team members must be registered with the U.S. Department of State as traveling to Kenya on the dates of the trip. Unless otherwise notified, PROJECT 82 will register all team members. If the group decides to register themselves, the group leader must provide written confirmation that each team member is registered to PROJECT 82.
All in-country logistics including transportation, lodging, meals and water will be facilitated and managed by PROJECT 82. Health and safety are paramount and PROJECT 82 will do everything possible to ensure the safety of the team and that health risks are minimized.
Individual team members must be at least 14 years of age in order to submit the required application forms for consideration. Any application received for an individual that is at least 14 years of age, but not yet 18, requires the signature of a parent or legal guardian and must also be accompanied by an adult of at least 21 years of age. Age exceptions may be submitted for consideration on an individual basis.
All team members must be approved by actionable vote of the PROJECT 82 Board of Directors accordingly to the by-laws of the corporation.
Once this form is completed and notarized, please return it to the PROJECT 82 office along with a copy of your passport and your $500 deposit. This must be 90 days prior to departure.
P.O. Box 680003
Marietta, GA 30068
A second payment of $1500 is due 60 days prior to departure. All remaining fees must be paid in full 30 days prior to departure. If you will be receiving a scholarship from your church or another organization, please inform the PROJECT 82 office.
MISSION TEAM MEMBER PROFILE AND RELEASE OF CLAIM
Each mission team member must complete a Member Profile & Release of Claim Form.
Country/Trip Departure Date / /
Team Leader Name Return Date / /
Team Member Legal Name Nickname______
First Middle Last
Address Work Phone ______
Home Phone ______
City State Zip
e-mail Cell Phone ______
Occupation Sex ______
Passport # Passport Expiration Date / /______
Nationality Date of Birth / /______
Where Passport Issued ______
______
PROJECT 82 recommends the following guidelines for all team members. Volunteers in mission are not tourists; they go at the invitation of the host country as their guest. It is extremely important to be willing to adjust to the expectations of the host ministry. Therefore, in consideration of the opportunity to participate in the project described above as a volunteer, and in consideration of other obligations incurred by the mission organization, please review the following agreement and sign below:
The validity, construction and interpretation of this MEMBER PROFILE AND RELEASE OF CLAIM form shall be governed by and construed in accordance with the domestic laws of the state of Georgia.
In witness whereof, I have executed this agreement and this release at ______
(city & state)
Signature of Participant ______Date ______/______/______
MEDICAL & EMERGENCY INFORMATION
Country: ______
Name: Dates of Trip: ______
1) Have you had any major illness during the past year? Yes No
If yes, please explain
2) Do you take medications regularly? Yes No
If yes, please explain
3) Do you have any allergies? Yes No
If yes, please explain
4) Is your Tetanus shot current? Yes No
If no, when will you update it?
(There may be additional vaccinations recommended, please check with CDC three to six months prior to travel date.)
5) Have you been treated or hospitalized for a mental or emotional condition in the last 5 years?
Yes No
If yes, please explain
6) Do you have any physical limitations/disabilities? Yes No
If yes, please explain
7) What is your blood type (if known)
8) Do you have medical insurance: Yes No
Company Policy # ______
9) Who should be contacted in case of emergency?
Relationship______
Home Phone Cell Phone______
Work Phone email______
Signature: ______Date ______/______/______
MEDICAL INFORMATION & RELEASE
I, ______authorize ______
(participant) (another adult on trip)
if I am unable to do so, to consent to any necessary examination, anesthetic, medical diagnosis, surgery, or treatment and/or hospital care rendered to me under the general or special supervision and on the advice of any physician or surgeon licensed to practice medicine by the state or country in which they practice, during the duration of the trip identified above.
Participant’s Physician ______Phone ______
Medical Insurance Provider ______Phone ______
Policy Number ______
Allergies ______
Medications ______
Please indicate if you have physical disabilities and health problems/specific special needs regarding sleeping accommodations, meals, etc.
______
Sign this page in the presence of Notary Public:
Signature: ______Date ______/______/______
Notarization of Medical Information & Release Form:
State of ______County of ______
On this ______day of ______, ______, before me personally appeared ______
to me known the same person described above and who executed the within instrument in my presence, and who acknowledged the same to be their free act and deed.
______State of ______
Notary Public
______County of ______
Date
My Commission Expires: ______
NOTIFICATION OF DEATH
Team Member Legal Name ______
First Middle Last
______
A member of my family, or representative of the U.S. State Department is to be instructed by the following in event of my death, should my death occur outside the United States.
1.) Immediately contact the following:
(Please include complete names, addresses, and contact numbers for the following.)
A.) A representative of the U.S. State Department
B.) My spouse
______
______
______
______
C.) My parents
______
______
______
______
D.) My children
______
______
______
______
______
______
______
______
E.) Others (specify relationship)
______
______
______
______
F.) United Methodist Bishop’s Office
______
______
______
______
NOTIFICATION OF DEATH (continued)
______It is my desire that I be cremated if this is possible prior to my being shipped back to the United States. Where possible, arrangements for the cremation are to be made in consultation with a representative of the U.S. State Department. My remains are then to be shipped to the following address:
______
______
______
______
______I do not wish to be cremated. My body is to be shipped back to the United States in keeping with the requirement of the host nation to the following address:
______
______
______
______
______All valuables, money, and personal possessions are to be kept in the control of the representative of the U.S. State Department and shipped to ______at the following address:
______
______
______
______
______In the event of the death of an accompanying spouse, all of the above instructions are to be followed in consultation with the surviving spouse if that spouse’s physical condition or location make such consultation possible. Further, all valuables, money, and personal possessions are to be placed in the possession and control of the surviving spouse.
Team Member Signature______Date _____/_____ /_____
MISSION EXPERIENCE COVENANT
The purpose of PROJECT 82 mission experience is to provide an opportunity for the body of Christ to demonstrate the awesome and perfect love of God to the orphans and communities where we serve. The following standards and policies exist in efforts to create an uplifting environment that honors Christ, and encourages people in their relationship with Him, while also being culturally sensitive.
The PROJECT 82 code of conduct exists for the purpose of ensuring that the safety and positive reputation remains among all of our trip participants, partners and staff. We recognize that trip participants might hold different beliefs on certain issues. However, it is important that all trip participants adhere to the standards and policies in order to ensure that we are consistently upholding a standard that is above reproach.
Please read the following policies carefully. As a trip participant serving with PROJECT 82, I agree to the following policies during my mission experience:
1. I will not consume any form of alcohol while a part of this mission experience or at any time during trip related activities. I understand the failure to adhere to this policy may result in immediate removal from the experience with no refunds, and may result in additional costs for change in travel arrangements.
2. If under the legal drinking age of 21, I understand that the purchase of alcohol may also be grounds for immediate departure and/or the denial of future mission experience participation.
3. I agree to eliminate any usage of tobacco products during mission experiences.
4. In efforts to respect the culture, I agree to dress modestly in a way that is appropriate to the culture. (Your team leader will communicate details on culturally appropriate attire.)
5. I agree to withhold from pursuing any romantic relationships with any team members or individuals I meet during the mission experience, as romantic relationships could distract from the purpose of the experience, which is to serve the people.
6. I understand the need for grace and flexibility when working together in unfamiliar culture. When dealing with conflict, I will handle it graciously and will attempt to quickly resolve any conflict that may arise and if there are issues beyond my resolution I will seek counsel from the trip leaders.
As an ambassador of Christ, I, ______, have read and understand the importance of following the above policies, and agree to adhere to them to the best of my ability.
Team Member Signature______Date _____/_____ /_____
“Defend the cause of the weak and fatherless;
maintain the rights of the poor and oppressed.” Psalm 82:3
TALENT RELEASE FORM
I, ______, hereby permit PROJECT 82 and its ministry partners to use any audio, video, written, or pictorial footage of myself taken while I am a mission team member for future promotion of PROJECT 82.
I understand that PROJECT 82 will not use any of this footage for any purposes or organizations outside PROJECT 82 nor will they sell or release this material to any outside party.
Name of Participant: ______
Date(s) of Trip: ______
Participant’s Signature: ______
Date: _____/_____/______
Short Term Team Application Page 1 of 8 Last updated April 9, 2014