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Please Print and Fill-out Form, Mail to Address below.
YOU WILL NEED A STATE BANKGROUND CHECK. THIS MUST ACCOMPANY APPLICATION AS YOU WILL BE WORKING WITH CHILDREN.
DESTINATION: KENYA - In Step Children's Home
I am a member of the team coming from
_____________________________________________________________________
Individual by self __________.
PREFERRED DATES OF MISSION TRIP:
Month______Arrivale Date_______Return Date_______Year__________
Name: ____________________________________________________________
Address:___________________________________________________________
City:____________________________ State:___________ Zip:_______________
Telephone: _________________________ Email:___________________________
Passport Number (if required for trip):_____________________________________
Age:______________________________________________________________
STUDENTS _____ADULT _______Birthday _____________________
If this is a FAMILY APPLICATION please fill one out for each person.
You will need two passport photos for VISA.
If you do not have a passport you will need to apply 60 days before the trip.
Are you a member of a church? _________
Name of Church _____________________________
How are you involved? What ministries and in what capacity?
Please give the names and telephone numbers of 3 people who can give an honest evaluation of your ability to contribute to this mission. Please only one relative.
1.____________________________________________________________
2.____________________________________________________________
3.____________________________________________________________
Medical History, Please list any medical conditions & medications. If you have Asthma or any condition that is affected by altitude please contact your physcian before coming. We are at 6,500 ft at the Children^s Home. Please bring a Notorized letter giving your team leader permission to have you treated incase of a medical emergency.
List medical conditions/medications you will be bringing:
______________________________________________________
______________________________________________________
______________________________________________________
We will also need a recommendation letter from the pastor of your home church, youth leader or employer.
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ALL individuals going on short-term missions must be covered by health insurance, cost may vary. We use IMG international missions insurance. This is not an option if going on one of our teams.
Please respond to the following on a separate sheet of paper:
1. Are you a Christian? If yes, where do you attend church? If no, please read our belief statement below, is this in conflict with your beliefs?
2. Do you have any cross-cultural experience? If yes, please details.
3. Why do you think God called you to go on this trip?
4. What do you personally hope to gain from this trip?
5. What do you feel will be your greatest strengths?
6. What do you feel will be your greatest challenges?
7. Do you have any prejudices against color, religion, nationality, poverty, etc?
8. Have you ever been convicted of a sexual crime? Yes _______No___________
9. Do you have any issues that you feel the leader should know about? If so we can set up a one on one meeting.
Yes ___________No______________
10. How would you describe your walk with God?
As much as it is within my power, I agree to be a positive and Christ-centered example on this Mission Trip. If I put myself or the team in an uncompromising or dangerous situation I give the leaders of this team permission to send me home at my own expense.
SIGNED: _____________________________DATE:______________
PARENT^S SIGNATURE: (If under 18)
DATE: _________________________________Date_________
Please return completed form to:
Rehema Ministries
Joyce Panzero
1117 3rd Street
Anacortes, WA 98221
rnj17@comcast.net
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I believe in God, the Father Almighty, Maker of heaven and earth; and in Jesus Christ, His only son, our Lord; and in the Holy Spirit; and that these three are one God.
I believe the Bible to be the inspired Word of God, the only infallible rule of faith and it^s practice.
I believe in the Lord Jesus Christ, who, in the beginning "was with God", and "was God", and "who is God.
I believe He came to earth in human form to be a sacrifice for our sins".
I believe the Holy Spirit has led me to repent of all my sins and to turn from them, and to obey Christ.
I believe it is my duty to follow His call, "If any man will come after Me, let him take up his cross and follow Me".
I believe that we are saved "by grace through faith" in the Lord Jesus Christ.
I believe that through the infilling of the Holy Spirit that we can do good works and that they will produce the fruit of faith.
I therefore offer myself for Christian service as a means of expressing my faith and love to Jesus Christ.
I believe that through Him all things are possible and I give my life to be used to expand His Kingdom.
I believe He will use me to do miraculous things, so that not one will be left behind.
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