2024 Mexico Medical/Dental/VBS/ConstructionApplication

I am interested in serving:

Training Dates (lunch included - times and dates subject to change):

Sunday, February 4th, - 12:30 - 2:00 pm at LCC, Room C-6 (Orientation)

Sunday, March 3rd, - 12:30-4:00pm, at LCC, Room C-6

Sunday, April 7th, - 12:30 - 4:00PM, at LCC, in Room C-6

Saturday May 4th 9:00AM - 3:00PM at LCC, in Room C-6

Sunday, May 5th, - 12:30 - 4:00PM, at LCC, in Room C-6

Sunday, June 2nd - 12:30 - 4:00PM, at LCC, in Room C-6

Training dates are mandatory: I agree to attend the training meetings:

Yes No

Deposit & Cost: $550 total
Deposit (non-refundable) $50.00 || Outreach: $500.00

$50 due with application (when you submit this form)

$100 due April 7, 2024

$200 due May 5, 2024

$200 due June 2, 2024

Gender

Male Female

This address will receive a confirmation email

Marital Status

Single Married Separated Divorced

Children's names and ages

REQUIREMENTS FOR PROCESSING

In order for your application to be processed, all of the following information must be returned to us as soon as possible:

A) Complete this application form.

B) Those over 18 must complete the "Permission to Obtain a Background Check" form (If you have already done a background check in the last two years, you do not need to do it again). A form will be included in your email response.

Below, please upload:
C) A wallet-sized photo of yourself.

D) Copy of passport. If you do not yet have a passport, you will want to apply immediately because of current delays. You may apply at Shasta County Passport Application

Photo

Upload (8MB)

Passport

Upload (8MB)

T-Shirt Size (unisex sizing) ((you don't need to fill out this section if you already have Witness t-shirts)) Small Medium Large XL 2XL 3XL

Number of Shirts Needed:

1 2

What was your last grade completed and degree(s) received?

Please describe your present relationship with God.

Do you attend a church?

Yes No

Have you served in any area of ministry before?

What area and when?

What are your expectations for this Witness trip?

Describe briefly what you like about yourself:

Describe briefly what your greatest challenges are that you would like to see growth in on this outreach.

List any talents or special abilities that could assist the ministry team:

List the foreign languages you speak and the level of ability:

The outreach could include long trips in vans, early mornings, late nights; sleeping on the floor, and lots of walking. Are you mentally and physically prepared for this kind of schedule?

Yes No

During the Witness trip, you will be living in a community enviroment; sharing rooms, etc. Are you willing to do this?

Yes No

How do you respond to stress? (Ex.: finals, work, arguments with friends, parents)

Do you have a criminal record (military or civil)?

Yes No

If yes, please give details:

Have you ever been sent home from an outreach?

Yes No

If yes, please give details:

Please rate personal strengths and weaknesses on a scale of 1-10 with 10 being the strongest.

Relating and conversing with new people

Problem Solving

Willingness to submit to leadership

Readiness to serve without being asked

Readiness to encourage others

Establishing close relationships

Listening to others

Tactfully and lovingly confronting others

Completing a given task

Ability to work with others

If you feel it is necessary to comment on any of the answers above you may do so here:

MINISTRY AND MODELING

On this trip, we are representatives of churches in San Vicente. In essence, we are working for them. Mexico has different customs from what we are used to, so we always strive to be culturally sensitive.

*No smoking or drinking alcohol.

*No coarse language or joking.

*Being careful about how we conduct ourselves with the opposite sex and in public (for instance, dancing is considered taboo.)

*Dressing modestly: no cleavage, nothing sleeveless or cropped tops, no short shorts, no leggings (yoga pants) as pants. Men musn't go shirtless, and no "sagging." For church, women will wear long dresses or skirts and men will wear collared dress shirts and pants. Dress code will be more clearly stated during training.

*We must strive to be supportive of one another, and not cause division.

In order to be culturally sensitive and to honor those ministries we wish to serve, it is our policy that there is no smoking or drinking alcohol, inappropriate language during witness trips. This trip will also require a culturally sensitive dress code. Do you agree to abide by this policy?

Yes No

If no, please comment:

1. Each participant is expected to provide or raise their own finances for the outreach.

2. The cost of the training and outreach is $550.00. Please review the financial deadlines listed above (you will be emailed payment deadlines.)

3. All payments must be made in U.S. dollars.

4. All personal and medical expenses incurred while involved with Little Country Church Witness trips are the responsibility of the individual.

ACKNOWLEDGMENT OF FINANCIAL RESPONSIBILITY

I understand that the registration fee of $50 is non-refundable. I have completed all portions of this application. If accepted, I will abide by the Spirit, policies and schedule of the program, and if I am sent home from my outreach I will accept full financial responsibility.

Yes, I accept this responsibility I do not accept

PERSON TO CONTACT IN CASE OF EMERGENCY

In case of an emergency please provide us with the information of someone we may contact and notify.

WITNESS MEDICAL INFORMATION

In the case of a medical emergency or accident while you are on your mission trip, it is to your benefit to have provided the most complete health information available. Please answer all questions to the best of your ability and if necessary feel free to clarify at the end of this section.

Asthma, chronic wheezing, emphysema, lung or respiratory problems