Mission Application

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Step 1 of 2

Application Date

Country Traveling To

Travel Dates

Name

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Phone Type

Date of Birth

Gender

Male
Female

Marital Status

Do You Have A Passport?

Country Issued

Expiration Date

Emergency Contact #1

Name

First

Last

Relationship

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Emergency Contact #2

Name

First

Last

Relationship

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Current or Previous Employer (If Student See Next Section)

Name of Company

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

If Student Please Complete Next Question

Name of School

Health Insurance Information

Insurance Company

Policy Number

Comments

Beneficiary Designation

Name

First

Last

Relationship

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

List Any Disabilities or Health Issues

How Long Have You Been A Christian?

Are You A Member of A Local Church?

If Yes, How Long?

Areas of Involvement In Your Local Church

Skills/Talents

List Countries And Dates of Any Previous Overseas Volunteer Services:

Personal Testimony

Please share with us how you came to Christ, and your life before and after coming to Christ. (This is not required for Pastors)

TERMS AND CONDITIONS:

The Terms and Conditions must be signed by an adult missionary or the parent or guardian of a minor. Voice of Grace International Ministries, reserves the right, in it’s sole and absolute discretion, to terminate your trip at any point before or during the mission if we believe that it is necessary and in the best interest of the team and our hosts. Please read the below terms and conditions carefully before signing and dating at the bottom.

1. I hereby agree that while serving in the mission field, if any of my actions are found to be not in compliance with the goals of the team, the host missionaries or Voice of Grace, in their sole discretion, I will consent to expulsion from the team at the direction of the team leader or any official representative of Voice of Grace International Ministries. Further, I understand that I will forfeit all funds contributed toward this trip (airfare, taxes, and training) for the sake of the overall goal of the remaining team members.

2. I agree that all funds contributed toward this trip (airfare, taxes, and training, etc.) will be non-refundable and forfeited.

3. I hereby release Voice of Grace International Ministries. its board of directors, volunteers, staff and the Executive Director from any and all liabilities associating with my expulsion and any other damages/losses that I may incur as a result of this mission trip.

4. Understanding that Voice of Grace International Ministries is an international missions organization working to spread the Gospel of Jesus Christ, reaching the lost and reconciling man back to God, I hereby release, hold harmless, and indemnify Voice of Grace, International Ministries. its board of directors, volunteers, staff, and the Executive Director, and associates of and from any and every liability, claim, demand, right or cause of action, of whatever kind or nature, which may be asserted by reason of, on account of, or in any way growing out of any and all personal injuries, disease or the effects and/or consequences thereof, or damage to property or person.

5. I consent to permit Voice of Grace Intl Ministries to use my image/video or any other form of media representation in an effort to advance and promote activities on behalf of their organization. I relinquish any and all rights that I may have because of such appearance, I do not expect to be compensated financially or by any other means.

6. By signing this consent, I confirm that I am medically fit to travel on this trip. I understand that Voice of Grace International Ministries reserves the sole and absolute discretion to require an authorization to travel, by a physician, for me to go on the trip.