Sunday, May 28 – “The Better Way, the Only Way”
To introduce people to Jesus and together become fully devoted followers.

Team Leader & Team Member Application Forms

TEAM LEADER &
TEAM MEMBER APPLICATION FORMS
Hawkwood Baptist Church

Short-Term Mission – Leader & Member Application

Please complete the forms in this package and return to the Pastor or
the Missions Committee Chairperson,
Hawkwood Baptist Church
Application Process:
Submit your completed application and $250 to Hawkwood Baptist Church
Application deadline: _____________________
Submit a total of 3 personal reference forms (must be non-family members and must have known you for a minimum of 2 years.) Include one from someone in church leadership.
Each applicant must be interviewed prior to acceptance.
Each applicant must undergo a Police check.
Applicants will be notified regarding acceptance when this process is complete.

Participant Information
NAME (as shown on passport)
Surname_________________________ Full Given Names____________________________

Address____________________________________________________________________

City________________________ Province__________________ Postal Code______________

Phone (Home) _____________________ (Work) ____________________(Cell)_______________

E-mail___________________________________ Fax #_____________________________

Date of Birth (D/M/Y) ____________________________________
____________________________________________________________________________
Travel Documents

Do you have a passport? Yes No 

Passport #___________________________ Date of Expiry__________________________

Citizenship ___________________________Place of Birth __________________________

Hawkwood Baptist Church Involvement
Are you a member of Hawkwood Baptist Church? Yes No 

How long have you attended Hawkwood Baptist Church? ____________________________

Specify your past and/or present church ministry involvement____________________________________________

____________________________________________________________________________________________

_____________________________________________________________________________
Educational Information
List any degrees, diplomas, certificates or special training (i.e. first aid)
___________________________________________________________________________________________
Occupation______________________________

Skills
Do you have any training skills in the following areas?

Framing Cooking
Teaching Photography
Preaching/Speaking Carpentry
Mechanics Video production
Painting Sports
Teaching Crafts
Leading worship Drama
Haircutting Optical
Brick and Mortar construction Sewing
Welding Mechanics
Electrical Medical
Plumbing Dental
Children’s ministry Musical instrument, please name___________________

Other (specify) _____________________________________________________________

What do you believe you can contribute to the team and this ministry?
____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Information Regarding Your Christian Faith
Explain how and when you accepted Jesus as your personal Lord and Savior.

____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Describe personal practices that help you grow in your relationship to God.
_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

How have you seen God work through and in your life in the past year?

_____________________________________________________________________________
Describe specific opportunities you have had to share your faith.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________
How would you describe yourself as a person…character, personality, etc.?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Describe your spiritual gifts (teaching, service, hospitality, etc.) and personal talents/skills.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________
Trip Information

Have you ever been overseas before? Yes No 
If yes where?

____________________________________________________________________________________

Please state your goals in becoming involved with this Missions Trip.

____________________________________________________________________________________

___________________________________________________________________________________

____________________________________________________________________________________

What reasons influenced your decision to become involved with this team?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

What do you hope to gain from the experience of this trip?

____________________________________________________________________________________

Mission Trip Reference Form
__________________________________________________________________

(Name of Participant)______________________________has applied to join a volunteer team

traveling to ____________________. The team will be (trip description)_________________________

___________________________________________________________________________________.

A reference check is required for all volunteers joining the team. The information you provide will remain confidential. Thank you for your assistance.

Please forward this information to:

Missions Chairperson
Hawkwood Baptist Church
20 Hawkwood Drive
Calgary, AB T3G 2W2
or e-mail to:
hbc@hawkwood.ca
__________________________________________________________________

Your Name ___________________________________Phone___________________________

Address ______________________________________________________________________

E-mail Address ________________________________________

1. Describe your relationship with this applicant _______________________________________

_____________________________________________________________________________

2. How long have you known this person ____________________________________________

3. Please use the scale provided and respond to the following:

1. Low 2. Below Average 3. Average 4. Very Good 5. Excellent

How would you rate this individual in the following areas?

a) Ability to work with other volunteers 1 2 3 4 5
b) Ability to follow through on commitments 1 2 3 4 5
c) Ability to relate to children 1 2 3 4 5
d) Level of spiritual maturity 1 2 3 4 5
e) Ability to handle change and stress/flexibility 1 2 3 4 5
f) Emotional stability 1 2 3 4 5
g) Initiative 1 2 3 4 5
h) Cross-cultural Respect 1 2 3 4 5
4. What are the applicant’s greatest strengths? _______________________________________

___________________________________________________________________________

5. Would you recommend the applicant as a member of a team traveling to __________________

without any concern, reservation or hesitation?______________________________________

Do you have any concerns regarding this person? If so, please explain __________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________
6. Any other comments? __________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Signature_________________________________ Date____________________________

Medical Information Form
Hawkwood Baptist Church 20 Hawkwood Drive N.W. Calgary, AB T3G2W2 hbc@hawkwood.ca

Participant Information ____________________________________

Name_____________________________________________________________________________________

Address____________________________________________________________________________________

City_____________________ Province______________________ Postal Code____________________________

Home Phone_____________ Cell Phone_________________________ Business Phone___________________

Date of Birth_______________________ Health Care Card Number______________________________________

Doctor’s Name___________________________________ ____ Phone Number____________________________

Insurance Company ____________________________________Phone Number____________________________
_____________________________________________________________________________
IN CASE OF EMMERGENCY PLEASE CONTACT

Name _______________________________________________________________________

Home Phone______________ Cell Phone_________________ Business Phone_____________

Relationship __________________________________________________________________

Name _______________________________________________________________________

Home Phone______________ Cell Phone_________________ Business Phone_____________

Relationship __________________________________________________________________
__________________________________________________________________
MEDICAL INFORMATION
Yes No Yes No
Recurrent Headaches [ ] [ ] Heart Condition [ ] [ ]
Seizures [ ] [ ] Rheumatism/Arthritis [ ] [ ]
Fainting Episodes [ ] [ ] Anemia [ ] [ ]
Major Surgery [ ] [ ] Allergies [ ] [ ]
Asthma [ ] [ ] To What___________________________________
High Blood Pressure [ ] [ ] ___________________________________________
Low Blood Pressure [ ] [ ] Reaction___________________________________
Cancer [ ] [ ] ___________________________________________
Diabetes [ ] [ ] Medication/Treatment________________________
Depression/Anxiety [ ] [ ] ___________________________________________

Major illness/hospitalization in the last year_________________________________________
Dietary Restrictions_____________________________________________________________
Please note that dietary accommodations may not be possible
If you answered “Yes’ to any of the above questions please explain:
______________________________________________________________________________
Please list the medications you are currently taking (dosages). Include non-prescriptions drugs:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________
Additional Comments:
_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

I /we certify the above information is accurate. I/we understand that certain medical conditions may preclude acceptance. All required immunizations must be completed before departure. I/we realize that I/we must cover costs of any immunizations that the said minor will need.

________________________________________ _________________________________
Participant’s Signature Date

________________________________________________ ________________________________________
Parent/Legal Guardian Date
(If under 18)

Hawkwood Baptist Church
Short-Term Missions (STM) Financial Grants

Application

The HBC Missions Committee is pleased to be able to offer support to participants both prayerfully and financially. Because the funds for STM projects are limited, we will do our best to honor the needs of all participants, but cannot guarantee financial support to all applicants. Our greatest desire is that we do everything possible to help all of those called into cross-cultural service for Christ.

All applicants are responsible for raising 100% of their support. Being accepted by the HBC Missions Committee for financial support does not indicate that fund-raising activities should cease. We encourage all participants to explore all avenues of support and even, if possible, to raise above the required amount in an effort to support others and the project. This suggestion is not meant to keep you from asking for support, as the church desires to be an integral part of your STM, but rather, we only want all participants to experience the process and often challenging work of deputation.

The HBC Missions Committee will determine what financial support will be supplied to the applicant up to a maximum of 25% as funds are available.

Name___________________________________________________________

Address_________________________________________________________

City__________________________________Province___________________

Postal Code___________________ Telephone Number ( ) ____________

Name of Missions Agency you are applying to__________________________
Location of Short-Term Mission______________________________________

Dates of Short-Term Mission________________________________________

Purpose of Short-Term Mission_______________________________________
________________________________________________________________

Financial Details
Cost of the project (Canadian$)__________________________________

How do you propose to raise the money you need?

______________________________________________________________

Amount you will contribute: ____________________________________

Amount you expect in gifts from others: ___________________________

Total amount raised to date: ____________________________________

How much are you requesting for HBC support?_____________________

Financial Support Requirements:

Applicants for financial support are required to fulfill the following:

1. Must be a professing Christian and a member of HBC, regular
attender (non-member) and actively involved at HBC or currently
attending HBC and considers HBC to be their home church.

2. Must meet individually with member(s) of the HBC Missions Committee for an interview.

3. Must submit a copy of the Evaluation Form to the HBC Missions Committee within one month of their return.

4. For those going with missions agencies other than HBC please fill out the following information so that if your financial aid is approved it may be distributed as efficiently as possible.

Please enter to whom the cheque should be made payable:
_____________________________________

Address where the cheque should be sent:
________________________________________________________
________________________________________________________

I have reviewed this application and I agree to fulfill the requirements stated above. All of my answers are truthful to the best of my knowledge.

Signed:____________________________________________

Date:_____________________________
_________________________________________________________________________
Please enclose a brochure and/or any other information about the Missions Agency that is sponsoring this short-term mission project that would help the Missions Committee make a decision in regard to your application for the STM Grant.
Upon completion of this application, please submit it to the HBC church office. You may also be requested to attend a Missions Committee meeting or meet with some of its members in order to personally share with the Committee and answer any questions it may have. We will notify you as soon as possible of our decision in regard to this application.
You can be assured that this application will be held in the strictest confidence by the Missions Committee.
Should you have any questions or concerns about this application, please feel free to contact any member of the Missions Committee. Their telephone numbers can be obtained through the church office.
If you receive an STM Grant, you will be asked to submit one written report to the Missions Committee as well as possibly give verbal reports to the congregation when you return from your short-term mission experience.
We are excited and encouraged by your interest in missions. We know that the Lord will continue to guide you as you make preparations to serve Him through a short-term missions project. May God richly bless you in your ministry.

STATUTORY DECLARATION
CANADA ) In the matter of permitting
PROVINCE OF ALBERTA ) minor to travel without his or
TO WITNESS ) her parent or guardian.
________________________________________
I (We)___________________________________________________________of Calgary in
the province of Alberta do solemnly declare as follows:
` I/(We) am (are) the ________________________________of________________________
Lawful custodial and/or non-custodial parent(s) legal guardian(s) Child’s Full Name
Date of Birth_________________________________________________________

Place of Birth________________________________________________________

Canadian Passport Number-_________________________________________________________

Date of Issuance of Canadian Passport_________________________________________________________
(DD/MM/YY)
Place and issuance of Canadian Passport_________________________________________________________

________________________________________has my (our) consent to travel with any one of
Child’s full name
Full Name of Accompanying Chaperone______________________________________________

Canadian Passport Number______________________________________________

Date of Issuance of Canadian Passport_______________________________________________

Place of Issuance of Canadian Passport_______________________________________________
Full Name of Accompanying Chaperone______________________________________________

Canadian Passport Number______________________________________________

Date of Issuance of Canadian Passport_______________________________________________

Place of Issuance of Canadian Passport_______________________________________________
Full Name of Accompanying Chaperone______________________________________________

Canadian Passport Number______________________________________________

Date of Issuance of Canadian Passport_______________________________________________

Place of Issuance of Canadian Passport_______________________________________________

to visit ________________during the period of ___________to__________ . During that time period

_________________________ (Child’s full name) will be residing at the following address:

Number/Street Address and Apartment Number: _________________________________________

City, Province/State/Country: _________________________________________

Telephone: _________________________________________
Any questions regarding this consent letter can be directed to the undersigned at:

Number Street Address and Apartment Number: _____________________________________

City, Province/State/Country: _____________________________________

Telephone and Fax numbers (Work and Residence): _____________________________________
I (We) am (are) making this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath:
DECLARED before me at the City of )
Calgary, in the province of Alberta. ) _____________________________
This _____day of _________201_ ) Parent/Guardian
)
_______________________________ ) ____________________________
A Commissioner for Oaths/Notary Public
For the Province of Alberta Parent/Guardian

CONSENT OF PARENT OR LEGAL GUARDIAN
ACKNOWLEDGEMENT OF RISK, RELEASE OF CLAIMS
AND INDEMNIFICATION AGREEMENT

Name of Student ___________________________________Name of Organization_____________________

Notice to Parents: Please read and complete this document carefully. If you have any questions or concern
about the Program, any of the information contained in the Information Package or would like to receive additional information regarding the Program, please contact Hawkwood Baptist Church prior to completing and executing this document. This document constitutes a legal agreement between the Parties.

ACKNOWLEDGEMENT AND CONSENT OF PARENTS
I acknowledge that my child has been given the opportunity to voluntarily participate in the Program and I consent to my child participating on the terms and conditions set out herein:

Name of Program: _____________________________

Dates if Program _______________________________

Location of Program____________________________________________________________________

Supervisors: __________________________________________________________________________
POSSIBLE RISKS
By signing this agreement we conform and acknowledge that we understand and accept that the Program involves international airline and land travel together with volunteer work in a developing country and that it is not possible to identify and describe all the possible risks that may be encountered by our child (the trip member). We further understand and acknowledge that these risks may include, and are not limited to, financial loss, illness, injury and death which may arise, directly or indirectly from this airline travel or ground transportation, as well as illness caused by unsafe food or drink, illness caused by tropical disease and unsanitary conditions, illness caused by insects or animals, injuries caused by persons known or unknown, and other injuries, accidents, sickness, illness or disease which we may be unfamiliar with.

CONSENT AND ACKNOWLEDGEMENT OF RISK
Having attended the Program Briefing, having carefully reviewed the Information Package, and having had the opportunity to raise questions and concerns or seek further information from Hawkwood Baptist Church, we, the Parents or Legal Guardians of the trip member acknowledge and agree as follows:

1. We are the parents or legal guardians of the Trip Member and acknowledge that we have the option to consent to the Trip Member participating in the Program. We confirm that we attended the Program Briefing provided by Hawkwood Baptist Church and have elected to allow the Trip Member to participate in the Program. We acknowledge that we have obtained all of the information that we require in order to make the decision to allow the Trip Member to participate in the Program and we fully understand and accept all of the risks and dangers that may arise from the Program, whether they are known or unknown and whether they have been identified or not.
2. We are satisfied that we have been informed of our rights to obtain as much additional information about the Program as we feel necessary, including information beyond that provided to us by Hawkwood Baptist Church in the Program Briefing and the Information Package to the extent that we require and that we are not in any way relying solely upon information provided by Hawkwood Baptist Church respecting the nature and extent of the risks and hazards associated with the Program.

3. We hereby grant our consent to allow the Trip Member to travel with, and be accompanied by, the Supervisors, by means described in the Program Briefing and the Information Package.

4. We freely and voluntarily assume, on our behalf and on behalf of the Trip Member, all the risks and hazards (both known and unknown) inherent in the Program and understand and acknowledge that the Trip Member may suffer personal and potentially serious injury or death due to an unforeseen event associated with participation in the Program.

5. We acknowledge that we have informed the Trip Member that he/she is to abide by the rules, policies, regulations and directions provided by the Supervisors during the term of the Program and we agree that, in the event that the Trip Member fails to abide by the same the Trip Member will be excluded from further participation in the Program and that the Trip Member may be returned home at our expense.

6. We acknowledge the importance of providing Hawkwood Baptist Church with complete and current medical information regarding the Trip Member and confirm that the medical history set forth below has been completed accordingly. We consent to Hawkwood Baptist Church and the Supervisors obtaining such medical advice and services as they may deem appropriate at the time, and we confirm that we will be responsible for any expenses arising from such treatment.

7. We hereby enter into this agreement and consent to the Trip Member participating in the Program on the terms and conditions set forth in this agreement.
Notice: Personal Information is collected under the authority of Alberta’s Freedom of Information and Protection of Privacy Act (FOIP) and the School Act. This information will be treated in accordance with the privacy protection provisions of the FOIP Act. If you have any questions about the collection or use of this information, please contact Hawkwood Baptist Church immediately.
Missions Trip Evaluation
(To be filled out upon return from the mission)

Name ______________________________________________

Short Term Trip________________________________________

Date_______________________________

The HBC Missions Committee at Hawkwood Church is deeply appreciative of your willingness to give of your time and resources to this missions experience. We hope that your experience has been positive and life changing for you.

Please feel free to write your answers on a separate piece of paper if necessary.

Personal:

1. How has the trip affected your spiritual life?
2. What was the greatest lesson you learned on this trip?
3. What helped you learn this lesson? i.e. people, experiences, etc.
4. Did God use you in ways that you anticipated when you first filled in the
application?
Team:

1. What were some of the difficulties and benefits of working as a team in a
foreign country?
2. How did the age or maturity of the team relate to the effectiveness of the trip?

3. Of all your preparation before you left, what was the most helpful in preparing
the team? What was the least helpful?
Work/Program

1. How effective was the program you implemented on this trip? To what extent did the program help you to fulfill the goals?

2. How effective was the leadership in implementing the program? Describe the positives and negatives.
3. How could organization have been improved? (i.e. trip preparation etc.)

4. Did you feel like you had enough time to accomplish your goals through this program? Why or why not?

Fruit of the Trip:

1. Describe any opportunities you had to share your faith either verbally or by your actions. What was that experience like?

2. How were the local Christians and/or missionaries strengthened by your presence?
3. How were other local people changed/effected by your presence?
4. What blessing/growth did you experience in your own life as a result of your efforts?

What’s Next?

1. Describe the continuing needs of the area.

2. How can the next group of volunteers build on what has been done already?
3. In your opinion, do we need to send more teams to this area?
Why or why not?