Visiting Team Application – A Greater Hope

Instructions Please complete the following information that matches your passport

Full Name *Please enter your full name as it appears on your passport

Today's Date *

Birth Date *Please enter your date of birth as listed on your passport.

Home Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone *Please enter your best contact phone number.

Email *Please enter your best contact email.

Drivers License Please enter your Drivers License or Identification Card number.

State of Issue

Driver License Expiration Date What day does your ID expire?

Passport Number *

Passport Expiration Date *

Passport Place of Issue *

Health Issues *

Do you have Health Issues or Food Allergies we should know about?YesNoUnknown

Health Issues

Please Elaborate upon which health issue you feel we should know about. Allergy, Meal Type, etc.

When and where did you accept Jesus Christ as your Lord and Savior? *

Briefly share your testimony and current relationship with Jesus Christ. *

Describe any other mission trips you have been on. *

Please list church groups/activities and ministries you were involved with at your place of worship. *

What Training, Experience, Hobbies, Certifications, or Licenses you have had that you can apply to your visit. *

Have you ever been convicted of, or pled guilty or no contest to a crime other than a minor traffic violation, or are you now under charges for any criminal offense? *

A criminal conviction will not necessarily disqualify you from consideration.YesNo

If yes, please explain fully below.

Use this area to write any additional comments that you would like to make about your background.

Name of a Pastor at your church we can contact for reference.

Pastor and Church Name *

Phone *What is the best phone number to contact your pastor or church?

Email *What is the best email to contact your pastor or church?

List below two personal (nonfamily) references from your church who are well acquainted with you.

Name *

Phone *

Email *

Name *

Phone *

Email *

By typing my initials below, I am agreeing with the following statements.

I am willing to submit to the guidelines and authority of the Directors and staff at AGHO. *

I understand that we will contact these references and conduct a records check on me. *

Instructions

I will provide references with the expectation that AGHO will contact them about my character and heart to serve. *

I understand that the use of tobacco, alcohol and/or illegal drugs on the Ministry premises is not allowed. *

The Bible is the inspired Word of God and the final authority for our faith and conduct. God is the creator of man and all things, eternally existing in the three persons of Father, Son and Holy Spirit. Jesus Christ is the Incarnation of God in the flesh who became man, without ceasing to be God, and through whom we receive forgiveness of sins and the promise of eternal life. The Holy Spirit is the third Person of the Trinity, who indwells, regenerates, seals, anoints, empowers and gifts all believers. Sin is rebellion against God and His commands. The sin nature is within everyone causing us to be separated from God and destined for His judgment. Salvation is the gift of God brought to man by grace and received by personal trust in Jesus Christ. It encompasses the forgiveness of all our sins – past, present and future. The Church is the worldwide Body of Christ on earth, with Jesus as its Head and comprises all believers who have placed their faith in Jesus.

Do you agree with this statement? *Type yes or no, and your initials

Statement of Consent and Release: To the best of my knowledge, the information I have provided in this application is true and correct. I agree that the following conditions will apply to all visits to A Greater Hope for Cambodia ministries and that if any of these conditions are broken, A Greater Hope for Cambodia and it's ministries directors has the right to cancel the visit without reimbursement of any kind. To obtain permission to visit any of A Greater Hope for Cambodia ministries, I will must have application approval in advance of my visit, regardless of whether this is a first time visit or repeat visit. All future visits to A Greater Hope for Cambodia ministries must be agreed upon in advance, in writing, by A Greater Hope for Cambodia ministries. I will show respect to the staff, children, families and communities that I meet, and take into consideration the cultural sensitivities of Cambodia. I will show respect to the children I meet and avoid flirting, unwelcome flattery, or making suggestive comments. I give consent to my references to provide A Greater Hope for Cambodia ministries with any information regarding my character for my visit to AGHFC. I release and hold harmless any individual, organization, official or reference whether or not identified in this application from any and all liability for damages of any kind, which may result to me on account of compliance with this authorization. I will not hold A Greater Hope for Cambodia ministries or parent ministries responsible for any injuries or accidents that may occur during my visit. I understand that living conditions in Cambodia overall are harsh as compared to Western standards. Food related illness and less comfortable conditions may be experienced on my visit.

By Typing my name, I acknowledge that I have read and understand this Statement and Release and agree that a photocopy or facsimile or return of signed email will be as valid as the original.

Name *

Date *

A Greater Hope Application

Personal Information

Health Issues?

Ministry Information

References

Agreements

Beliefs

Verification