GO Team APPLICATION

First & Last Name *

Write names as they appear in your passport.

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Date of Birth *

MM

DD

YYYY

Do you have any physical limitations that would hinder your ability to participate in ministry? *

Yes

No

Do you have any medical problems? *

Yes

No

Are you allergic to any medication or food? Do you medically require a special diet? *

Yes

No

Are there any medications that you take that your team leader should be aware of during the trip? *

Yes

No

I understand that mandatory medical evacuation insurance is purchased for trips and is included as part of the trip cost. I also understand that in the event of an emergency, my personal insurance will be contacted first before the additional coverage is contacted. I understand that the evacuation insurance is in no way a substitute for regular medical insurance. *

I understand

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Primary Care Physician *

First Name

Last Name

Primary Care Physician Phone *

(###)

###

####

Ae you a member or regular attender? *

Member

Regular Attender

Do you have previous cross cultural experience? *

Yes

No

As part of a Go Team, Harvest Bible Chapel expects the following: *

- Attendance at all training sessions and team activities before the trip. These sessions are designed to maximize the impact and prepare you for cross-cultural ministry. - Participation in all formal team activities while on and after the trip. This includes commissioning, debriefing, meeting, and formal opportunities to share with supporters. - Willingness to set aside preconceived ideas, previous experiences, or personal agendas to follow the leadership of the team leader and/or host missionary. This will ensure safety and effectiveness of the team. - Humility, flexibility, adaptability, and willingness to learn and work as part of a team. - I know that I must submit a $200 deposit for the trip in order to reserve my spot on the Go Team.

I am prepared to commit to being a part of a Harvest Go Team.

I need to discuss this with the team leader and/or missions pastor.

Because we are representing Jesus Christ at all times, all missions trips at Harvest will set and maintain the highest standard of conduct. *

I will: • Use language that edifes others and extends grace according to the need of the moment. • Not use or be involved in any illegal activities. • Avoid questionable situations with the opposite sex. • Submit to the team leaders and show respect and selflessness toward them, other members of the team, hosts, members of the community, the culture in which I am, and toward Harvest Bible Chapel and its leaders. This may include limiting my own personal freedom (eating habits, dress styles, conversation, etc.). By participating in this mission/activity, I may be subjecting myself to certain uncomfortable situations. This may include: differing expectations, lack of materials, substandard food and/or lodging, personality differences, cultural differences, diseases, pests, lack of sanitation, potential injury or inadequate medical facilities. I will be selfless, display a heart of servanthood, be flexible, and will guard myself from complaining. I understand the above Code of Conduct regarding my behavior on this mission trip. As a representative of Jesus Christ and of Harvest Bible Chapel North Indianapolis, I will willingly abide by this Code of Conduct, maintaining the highest standard and positive witness. I also understand that violation of any of the above could result in immediate dismissal from the trip or activity and a direct return home at my own expense.

I have read the code of conduct and am prepared to abide by it.

Are you completely aware of the cost of the trip, and your responsibility to raise the financial support. Including making any final payments 2 weeks prior to travel? *

Yes

No

I would like to speak to the Missions Pastor to discuss fundraising.

As part of the preparation for the trip, you will be raising prayer support to cover you during the duration of the trip. *

I understand that I will be raising prayer support for the duration of the trip and am prepared to do so

I would like to speak to the Missions Pastor about raising prayer support.