Team Member Application

Beacon of Hope International

Taking AIDS Prevention Education To Africa

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Beacon of Hope International Short-Term Team Member Application Thank you for considering being part of this team!
	Please fill out the following questions prayerfully. We appreciate your honesty and will prayerfully consider the application.
Name:	Name as on passport
Address:	Street: City: State: Zip:
Contact:	Phone: Email:
Do you have a passport?	Passport No.
Mission Participation:	Have participated in a short-term trip in the past? If so, please list date, destination, and Purpose:
Missions Heart:	Describe briefly your heart for missions and why you desire to be a part of this team:
God's Leading:	How has God lead you to be part of this team?
Quiet Times	Describe your personal quiet times:
Home Group	Are you involved in a church small/home group?
Strengths:	Please list the strengths that you feel God has equipped you with to be a part of this team:
Weaknesses:	Please list some of your weaknesses and areas where you may need training/help:
Sharing Faith:	How are you sharing your faith with the people God has placed around you today?
Concerns & Prayer:	What areas are you most concerned about with this trip? How can we pray for you, encourage you and equip you?
Missions Support	Yes No Are you currently financially supporting a missionary family?
	Please rate yourself honestly in the following areas: Flexibility Team player Open-mindedness Endurance Self-initiative Prayerful Humility Submissive to authority Listener Counselor Teacher Evangelist Teachable Sense of humor
Health:	Do you have any health issues or other issues we should be aware of?
Health Insurance	Yes No Does your health insurance cover overseas emergency health needs? If No, travel insurance to cover medical and certain unforeseen travel expenses will be purchased on your behalf by South Africa Mission. The cost is about $35 per team member and this amount will collected with your initial deposit upon acceptance into the team:
	If Yes, please provide the following information: Name of Insurance Carrier: Insurance Policy Number: Name of primary Insured Person on this policy: Contact number for International Coverage Authorization:

Thank you for filling out this questionnaire.

Your application will be prayerfully considered by the South Africa Mission board.

Last Updated January 8, 2012

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