HOPE,Mission Teams,Humanitarian Aid,Hope Unites,Mission Consulting,Team Leader Training Cyber Forms
 
HOPE Unites HOME

 

Packing List

 

Bold fields are required

 

Please give us your name as it appears on your passport for international missions, or on your driver's license for national mission trips.

First Name

 

Last Name

 

Street

 

Street

 

City

 

State

 

Zip Code

 

Country

 

Home Telephone

 

Cell Phone:

 

Work Phone

 

T-shirt Size

 

Passport number

 International trips only

Passport Expiration Date

 

Your date of birth

 month/day/year

 

Airport of Departure

 i.e. the airport nearest your home and your preferred airport to travel in and out of.

Please select whether you are male or female

Male

 

Female

 

Church/Organization Name

 

Church/Org Address

 

Please give us at least 2 emergency contact people.

Emergency contact first name

 

Emergency contact last name

 

Emergency Contact street address

 

Emergency contact telephone

 

Emergency Contacts Additional Phone

 

Emergency Contact's email address

 

2nd Emergency Contact's first name

 

2nd Emergency contact last name

 

2nd Emergency Contact Address

 

2nd Emergency Contact Telephone

 

2nd Emergency Contact Additional Phone

 

2nd Emergency Contact email

 

Your Email:
Additional info

 

Trip Destination

 

Date of Departure

 

Date of Return

 

Please give us your medical information

  1. Please list any physical disabilities or health problems you have, and indicate whether you have special needs regarding sleeping accommodations, meals, etc.    If you have no issues, please indicate by putting the word NONE in the medical info box below.
medical info

 

2. List all medications you take on a regular basis, with exact dosages, if you don not take any medications indicate this by putting the word NONE in the box below. 

medications

 

3.Do you have any allergies?  

Yes

 

No

 

If yes, please list allergies and Medications if needed

Allergies and meds

 

Does your medical insurance cover you outside of the United States (or your country if you are not from the United States)

Yes

 

No

 

If yes, what is the process for enacting your insurance in another country?

Process

 

Name of Insurance company

 

Insurance Telephone

 

Policy Number

 

Please read through our mission agreement

I realize that the following commitment is crucial to the effectiveness, quality, and positive expression of our mission together.  As a participating member of the Humanity Outreach Partners Enterprises team, I agree to:

 

  1. Develop and maintain a servant attitude toward the people our team serves, as well as, toward each team member.

 

  1. Support my team leader(s) and his/her decisions. 

 

  1. Respect peopleís view of faith including those I share space with and work with including the hostís view of religious faith, realizing that different people have different expressions of faith.

 

  1. Accept the service that is going on in the area where I am serving as well as the local approach to the mission, though it may differ from my own approach.

 

5.      Abstain from all use of substances including use of alcohol, illegal drugs, inappropriate clothing, and profanity from the time of my departure until I return home. (If you are a tobacco user, this trip is a great excuse for you to give up the habit! However, if you are simply unable to refrain, our organization is empathetic, we ask that you keep your habit to yourself and that no one on the team, the host or the locals sees you smoke.)

 

  1. Refrain from negativism and complaining.  Travel and outreach initiatives outside my organization/church/college/workplace, etc., may present unexpected and even undesired circumstances.  However, sense of humor, my support and creativity will enhance the moment.

 

  1. Refrain from gossip.  If it is not true, good, and positive, I will not say it.

 

  1. Remember that I am a servant of Jesus Christ called to be in ministry with the host team.  I will serve as best I can so that both the spiritual purpose and the task of the mission will be accomplished.

 

  1. Remember that I am representing a faith based agency, which has established itself as a servant of Jesus Christ; together we are called to be in service with the host, community and team.  I will serve as best I can so that both the spiritual purpose and the task of the mission will be accomplished.

 

  1. Lift up Jesus Christ with my thoughts, words, and actions.

 

I have read the above agreement and accept these terms.

 Type in your name

 

Please check the mission that you are registering for.