Short Term Mission Trip Information & Application Packet repentance and forgiveness of sins should be proclaimed in his name to all nations Luke 24:47 Contents About HOCI page 2 How to Apply page 3 Frequently Asked Questions page 4 Calendar and Locations page 5 Form 1012A Application page 7 Not Ashamed!! For I am not ashamed of the gospel, for it is the power of God for salvation to everyone who believes, to the Jew first and also to the Greek. Romans 1:16 1
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About Hands of Compassiion IInternatiionall Our Miissiion Hands of Compassion International, exists to facilitate short term mission trips connecting the local church to the missionary for the purpose of church planting and training leaders to reach the lost where they are. Churches HOCI recognizes that planting churches is vital to reaching the lost for Christ and for spiritual growth of the community as well as growing new indigenous church leaders to carry the message of Christ. In Partnership with the local Church and Missionary, we provide discipleship and training to help those called by God reach their communities for Jesus Christ. Short Term Mission Trips - Through short term missions, we will strive to bring awareness to the local church in the United States of the conditions around the world hoping to rise folks up from our comfort zone to go on mission for God, partnering with us to support Communities of Compassion. We feel that this experience will personally change the hearts and attitudes of Christians everywhere, thus causing them to worship our living Savior and commit to being completely sold out to Him. Our Vallues Faith in Jesus Christ as the only way to eternal salvation The Bible in its entirety as the only true revelation of God Personal devotion to Christ in all areas of our lives Faithfulness to spread the love of Christ to all people Openness to the work of the Holy Spirit in our lives Respect for all people in all our actions and attitudes Trust in God to accomplish His divine purposes through this ministry. 3
To Apply by Mail: How to Applly Read this information/application packet. Complete all forms and send it with your nonrefundable/non-transferable deposit (or full payment) to: Hands of Compassion International P. O. Box 2004 Appomattox, VA 24522 Attn: Chris Tolley Note: Make Checks payable to Hands of Compassion International PLEASE NOTE THAT DEPOSITS ARE NON-REFUNDABLE AND NON- TRANSFERABLE TO OTHER MISSION TEAM MEMBERS To Apply Online: Go to www.handsofcompassionintl.org. Follow the link to apply and down load information/application packet. Fill out application and mail to the above address. 4
Frequentlly Asked Questiions When should I apply? We recommend applying as early as possible. Registration is open year round. Applications are accepted until mission trip openings are filled, or up to 1 month before schedule departure date. See schedule for application due dates for each trip. How much does it cost? The cost will vary with trip destination & air fare. (see page 5) We require a deposit, which will allow the ministry to purchase plane tickets far enough in advance for best price. Example of cost breakdown for a one week trip to Costa Rica or Guatemala: Room & Board - $400-$500 Plane Tickets - $600-800 Airport Tax - $3.00-$30.00 (varies) (paid by applicant) Participants staying more than eight days will be charged and additional $35.00 per day for room and board. See additional pricing for other trips on page 5 Is transportation provided? All airline transportation will be provided as well as on the ground while on the mission trip. Transportation to and from the airport will be set-up and provided for by the partnering group or Church. Can I bring my children with me? We encourage families to bring all their family members, but we will discourage any children under the age of 10 years old to participate. All children under the age of 15 shall be accompanied by a parent or legal guardian. The mission trips are usually in rough terrain and great distances from any major emergency medical needs. 5
HOCI MISSION TRIPS Guatemala Winter Mission trip: o Date: January 3-10, o Registration deadline: September 15, o Cost: $1300.00 Deposit $500 due September 15, 2nd Payment $500 due Oct 15, Final Payment $300 due Nov 15, o Maximum Participants - 15 LCA Costa Rica Spring Break Mission Trip: o Date: March 8-15, o Registration Deadline: November 15, o Cost: $1300.00 Deposit $500 due November 15, 2nd Payment $500 due December 15, Final Payment $300 due January 15, o Maximum Participants 20 LCA Guatemala Spring Break Mission Trip: o Date: March 8-15, o Registration Deadline: November 15, o Cost: $1300.00 Deposit $500 due Nov 15, 2nd Payment $500 due December 15, o Final Payment $300 due January 15, o Maximum Participants - 15 Costa Rica Summer Mission Trip: o Date: June 20-27, o Registration Deadline: March 1, o Cost: $1300.0 Deposit $500 due March 1, 2nd Payment $500 due April 1, Final Payment $300 Due May 1, o Maximum Participants 20 Guatemala Summer Mission Trip: o Date: July 11-18, o Registration Deadline: March 1, o Cost: $1300.00 Deposit $500 due March 1, 2nd Payment $500 due April 1, Final Payment $300 Due May 1, o Maximum Participants 15 Uganda Mission Trip: o Tentative Date: August 1-12, o Registration Deadline: February 1, o Cost: $2700.00 Deposit $1500 due February 1, 2nd Payment $800 due April 1, Final Payment $400 due June 1, o Maximum Participants 15 STMT General Requirements: All applications will be due approximately five (5) months prior to mission trip date. All applications subject to acceptance by the HOCI short term mission board. For more information go to the website at www.handsofcompassionintl.org or contact Chris Tolley at ctolley@handsofcompassionintl.org. Make all checks payable to Hands of Compassion International, Inc. and mail to Hands of Compassion, P. O. 2004, Appomattox, VA 24522 6
HANDS OF COMPASSION INTERNATIONAL P. O. Box 2004 Appomattox, VA 24522 Phone (434) 352-2050 For Internal Use ONLY Passport Copies Pastoral Ref. Deposit Paid Ministry Team Other Confidential Short-Term Missionary Application Form 1012A Applying for a trip to: Name: Group/Church: Dates of Trip: Mr. Mrs. Miss Last First MI Present Address (street, city, and zip): _ Current Phone Numbers: Home: ( ) Work: ( ) Others: ( ) ( ) _ E-Mail: Occupation: Best time to reach you: Name and address of person to be notified in case of an emergency (this person will also be listed as your beneficiary on HOCI s insurance policy): Name: Phone: Address: _ Street number/name City State Zip Relationship: _ Date of Birth: -- -- Adult T-Shirt size: (circle one) S M L XL XXL XXXL Passport Number: _ Issued from: Passport Expiration Date: Please type or print your legal name as it is written on your passport: Note: Please provide 2x photocopies of your passport and attach to this application. If you are in the process of applying for a passport, please attach a current photo of yourself. 7
Home Church IInformatiion Church Name: Address: City State Zip Telephone#: Pastor s Name: How long have you attended? _ Mediicall Rellease (For Group Trips through Hands of Compassion International and any/all of its sponsoring organizations.) Name of Participant First Middle Last Street Address City, State & ZIP Date of Birth Phone # Emergency Contact Person Phone # Name of Insurance Company Policy # Please list any medical Allergies you have: Please list any medications being taken: Please list any medical problems, or other pertinent information: I understand that, in the event medical treatment is required, every effort will be made to notify the emergency contact person. However, if they cannot be reached, I give my permission to Hands of Compassion International and any/all of its sponsoring organizations or an adult sponsor to secure the services of a licensed physician to provide the care necessary, including, anesthesia, for my well being. Signed Date If applicant is under the age of 18 at the time of travel, a parent or legal guardian s signature is required above. 8
Waiiver of Liiabiilliity Statement I, release Hands of Compassion International, and any/all of its sponsoring organizations, together with the adults in charge, from any and all claims resulting from injury or damage that may be sustained by myself/my child while participating in the activities of Hands of Compassion International and any/all of its sponsoring organizations. Name of Participant Activity (Mission Work) Dates of Activity Through Signed _Date (If applicant will be under 18 years old at time of travel, a parent or legal guardian s signature is required.) During this trip you may be required to do some physical activity such as walking, hiking, etc. on some mountainous trails. Do you feel you will be capable of doing this activity? _ Yes _ No. Explain: Do you have any physical condition that may limit your ability to perform the ministry for which you have applied? _ Yes No. If so, explain: If you require any medications or other personal items such as contact lens solution, special medicines, etc. you must bring them with you on the mission trip. I understand that the medication I require may not be available in the country deployed to. Your initials here _. 9
Experiience IInformatiion (for fiirst tiime partiiciipants ONLY) Have you ever participated in a mission trip outside of the United States before? Yes No. If so, when & where? Please indicate which of the following ministries you have enjoyed doing or which may interest you: Evangelism Ministry Experience: Medical Care Ministry Experience: Dental Care Ministry Experience: Children s Care Ministry Experience: Construction Ministry Experience: Vacation Bible School (VBS) Ministry Experience: Clown Ministry Experience: Special Skills (check all that apply) Administrative Engineering Art Work Electrical/ Wiring Athletic/Sports Journalism Computer (specify) Carpentry Medical (specify) _ Plumbing Dental (specify) Photography Musical (specify) _ Other (specify) 10
Experiience IInformatiion (cont..) What languages do you speak other than English? _ What are the gifts the Lord has blessed you with? (Explain) Are you afraid to fly in an airplane? Not at all A little Yes Do you understand that even though this will be one on of the most memorable experiences of your life, that it is NOT a vacation? Yes No. Financiall IInformation Note: A deposit is required for advance airfare purchase. This is for the purpose of saving on the cost of the trip. Therefore, the deposit is non-refundable. Please return your deposit to your respective church mission trip coordinator. Attention: Due to the volatility in the airline ticket prices, fuel costs and other unforeseen factors, the above pricing is subject to change. The required deposit shall be determined by the cost of the trip. The payment schedules are indicated on page 5. I have answered the above information to the best of my knowledge with truth and a clear conscience. I am aware that if accepted, I am responsible to raise whatever financial support is necessary to fund this short term mission trip. I further agree to allow Hands of Compassion International to use my picture in ministry publications for the sole purpose of communicating the work that God is doing among the people I am applying to minister to. Signature: Date: (If applicant will be under 18 years old at time of travel, a parent or legal guardian s signature is required.) Full Name (Please Print): 11
Pastorall Reference/Personall Testiimony (for fiirst tiime partiiciipants ONLY) If this is your first mission trip with Hands of Compassion International, please provide a short personal written testimony below giving us specific information about your relationship with the Lord and your calling to go on this mission trip. For pastoral references only: Are you comfortable sending this individual out as a representative of your church? Use additional paper if necessary. Pastoral Signature: Date: _ Name (Print): Position/Title: Address: _ Phone: ( ) _ Work Phone: ( ) _ Organization or church to which you belong: _ 12
Rellease Form 1012B I release Hands of Compassion International, or any/all sponsoring organizations from all actions, damages, or personal injuries which may occur. I understand in the event of a minor injury I may receive first aid treatment. If my personal judgment is hindered due to an emergency, injury, or illness I authorize the mission trip leaders to take whatever action is necessary for my personal safety and health. I give my consent that photographs, interviews, and audio/video recordings during the course of the mission trip may be used by Hands of Compassion International for training, promotion, and fundraising. I authorize Hands of Compassion International to contact all references listed herein to verify all information provided and to obtain any and all information related to my character. I release all references from any liability for information provided in good faith. Signature: Date: (If applicant will be under 18 years old at time of travel, a parent or legal guardian s signature is required.) Full Name (Please Print): www.handsofcompassionintl.org 13