· web viewmultiplying transformational churches among all people team member packet. haiti...
TRANSCRIPT
MULTIPLYING TRANSFORMATIONAL CHURCHES AMONG ALL PEOPLE
WWW.GOREACHGLOBAL.ORG Team member Packet
Haiti(Revised March 2019)
ReachGlobal Missionary Team:
Dave Mathis (leader)Sharron Mathis (leader)Jennifer BlevinsStephanie Fry
[email protected]@[email protected]@efca.org
(+509) 3783-8742(+509) 4808-6705(+509) 4809-0895(+509) 3705-3245
Prefield Volunteer Coordinator:Jessica Schutte [email protected]
MAILING ADDRESS:ReachGlobal Crisis Response
19380 N. 10th StreetCovington, LA 70433
(985) 888-1060
REACHGLOBAL HAITI
Thank You…Thank you for choosing to serve with us in Haiti. Through God’s grace, starting back in 2010, when the devastating 7.0 earthquake struck, ReachGlobal Crisis Response, in partnership with the ReachGlobal Latin American/Caribbean Division, developed a number of partnerships in the country. We believe that local ministries are paramount in supporting local disciplemakers who, in turn, are building God’s kingdom in Haiti. We felt God’s call to help in the aftermath of the earthquake and continue to feel called to stay for long-term ministry. We are grateful that you have chosen to partner with us! Our Vision…
Transformation through intentional disciplemaking and holistic ministry partnerships
Hands and Feet…Please plan to serve as God leads and be open to ministering to the spiritual, emotional, and physical needs of those you interact with in Haiti. If you keep Jesus at the center of all of the details and plans, you will have a much more enjoyable time. Visiting neighbors of our ReachGlobal Missionary Team or helping the communities of our local ministry partners becomes a chance to share Jesus. Living every moment as a conduit for Christ can be life changing in this fertile environment! All the People of the World…We serve all God’s people...rich, poor, all colors, shapes, and sizes. Through your service in Haiti, you are in a position to be Christ-like servants; a chance to be Jesus in the flesh to someone who perhaps has never met Him…someone who never gave thought to the need for a Savior. While some organizations might focus on the work to be done, our priority is focused on people and building relationships that allow us to show God’s love to those whose paths we cross. Be prepared to be fluid…If there were one word that is crucial for all short-term missions it would be fluid. No one knows what God will bring your way or ask your team to do. Be ready for the unexpected by eliminating any preconceived expectations. In this ministry, when things don’t go according to schedule or in the way that we think things should go, our adopted slogan is, “Be fluid!” It reminds us that God is in control and our plan is truly subpar to His. Your success in this ministry is measured by your obedience to God, and your willingness to let HIM set the agenda. Having a willing spirit and open mind will enable wonderful engagements between team members. Join the Revival…Our hope and prayer is that after you leave Haiti, you will keep this experience in the forefront of your mind, remembering that serving God’s people can happen right in your own back yard! While in Haiti, we hope that God will ignite new ideas and passions in the heart of you and members of your team and that you return home with a desire to serve the Lord in new and meaningful ways!
Serving Him in constant awe,ReachGlobal Haiti Team
2
TABLE OF CONTENTSPREPARING FOR YOUR MISSION TRIP...................................................................................................................................4
WHAT SHOULD I PACK?.........................................................................................................................................................6
TEAM PACKING LIST..............................................................................................................................................................7
ARRIVING IN HAITI.................................................................................................................................................................8
WHILE IN HAITI....................................................................................................................................................................10
RELEASE OF RIGHTS.............................................................................................................................................................12
POLICY AGREEMENT, PERMISSION, AND RELEASE OF LIABILITY (1/2)................................................................................13
POLICY AGREEMENT, PERMISSION, AND RELEASE OF LIABILITY (2/2)................................................................................14
POLICY AGREEMENT, PERMISSION, AND RELEASE OF LIABILITY FOR MINOR (1/2).............................................................15
POLICY AGREEMENT, PERMISSION, AND RELEASE OF LIABILITY for MINOR (2/2)..............................................................16
VERIFICATION OF OVERSEAS MEDICAL & EVACUATION INSURANCE COVERAGE...............................................................17
PHOTO RELEASE..................................................................................................................................................................18
EMERGENCY CALLS TO HAITI:..............................................................................................................................................19
SAMPLE SUPPORT LETTER...................................................................................................................................................20
3
PREPARING FOR YOUR MISSION TRIP
What Will We Be Doing?Possible ministry activities include: Medical/DentalLabor/ConstructionVBS/Youth ProgramsPrayer Community GardeningOther needs as determined The ReachGlobal Missionary Team uses the skills and interests of your team along with the needs of our ministry partners to determine your team’s ministry activities for the week. The sooner you submit the Team Member Skill Assessment (page Error: Reference source not found), the sooner we can begin working on this.
How Much Does the Trip Cost?The total cost for the trip is $840 plus airfare and personal expenses. The $840 fee is paid in two payments. A $75 per person non-refundable, non-transferable deposit is required when your team submits the Haiti Team Application. One month prior to your flight to Haiti, your team must mail in the balance check for the entire team. The team fee covers lodging and dinners for 6 nights, security, interpreters, drivers, in-country transportation, ministry/construction materials, and ongoing ReachGlobal ministry needs.
How Much Money Should I Bring? Each member of the team will need to bring $10 cash to pay a tourist tax upon entering the country. Exact change is recommended. You will also need $2-3 per person to tip Wilbur who will meet you as you exit the airport and help bring you and your bags safely to our driver. There are opportunities to buy Haitian Perle coffee (http://www.perlefoundation.org/about) , souvenirs, and perhaps lunch at the beach. US dollars are acceptable, but please bring in small bills in good condition (not torn, written on, or too worn). $1’s, $5’s, and $10’s are best. $150-$200 should be adequate. You will not have an opportunity to go to the bank, use an ATM, or use credit cards once you are in Haiti. If you plan to carry a credit card with you to use during your travel within the US or at the airport in Haiti, it can be stored in our safe during your stay.
4
What About Health and Medical Care?Please let your team leader know of any preexisting medical conditions or physical limitations that might hinder team member participation in ministry activities in Haiti.
- Are you diabetic?- Are you taking vital prescription medicines?- Are you prone to kidney stones?- Do you have trouble tolerating heat?- Are you prone to motion sickness?- Do you have any conditions that might make it difficult to walk on rocky terrain?- Others…
Immunizations/Prescriptions : The best place to start inquiring about immunizations is with your personal physician or a travel clinic. There are no specific immunization requirements for entry into Haiti. If you would like to see the recommendations given by the Center for Disease Control and Prevention (CDC), you can visit their website: http://wwwnc.cdc.gov/travel/destinations/traveler/none/haiti In addition to immunizations, your doctor may recommend a prescription for anti-malarial medication and perhaps a broad-spectrum antibiotic. Medical Facilities in Haiti:Should the need arise, there is a trusted, American-run clinic a few blocks from where the team will be staying.
5
WHAT SHOULD I PACK?Suggested Individual Packing List:___ Water bottle___ T-shirts and modest tank-tops___ Hat to protect you from the sun___ Modest shorts ___ Church/professional clothes:
WOMEN: skirt and/or casual dress that covers shoulders and is knee-length or longerMEN: dress pants and collared shirt
___ Sturdy sandals or tennis shoes___ Shower shoes (optional)___ Pajamas (keep modesty in mind since you will be sharing living areas—bedrooms will be separated by gender)___ Underwear___ Socks ___ Closed-toed work shoes ___ Bandanas/sweat rags (optional)___ Soap___ Shampoo___ Toothbrush & toothpaste___ Razor & shaving cream___ Comb and/or brush___ Deodorant___ Dramamine or Bonine (for motion sickness)___ Anti-itch cream___ Prescription medication (keep in original containers and pack in your carry-on)___ Sleeping aid___ Earplugs (optional)___ Hand sanitizer___ Sunscreen___ Flashlight ___ Insect repellant ___ Camera/extra memory cards ___ Bible, pen & journal___ Spending money___ Sunglasses___ Batteries (4AA or 2D for personal fans)___ Bathing Suit (beach trip is an option; however, not guaranteed)
Do NOT Bring valuables or anything that you do not want lost or ruined: Jewelry Electronics Unnecessary cash and credit cards Nice clothing
6
TEAM PACKING LIST
Required Items___Toilet Paper (enough for your team)___4 rolls of paper towels___One package of Ziploc One-Gallon Storage Bags___One package of Ziploc Quart size Storage Bags___Trash bags (one box of 13-gallon kitchen bags)___ One twin size air mattress per team___ One twin size mosquito net per team___ Food for breakfast and lunch for the week plus Sunday dinner (ReachGlobal provides dinners only)
**Decide with your team if you want to pack food individually or as a team Suggested Items for MealsPlease ask your team leader if they have been told that there is an abundance of any of these items left over from other teams (as you will be able to use these leftovers). - Breakfast cereal or instant oatmeal - Crackers or cookies- Tuna or chicken- Pre-wrapped snacks, such as bars, beef jerky - Dried fruit, nuts, trail mix- Individual packets of applesauce or fruit- Sandwich bread/Pita/Wraps- Peanut butter and jelly- Coffee and/or tea…sugar and creamer (you can buy Haitian Perle coffee at the house)- Gatorade or other electrolyte replacement beverages (especially good for heat and cases of diarrhea) ** We do not have a microwave** Haiti does not have the same restrictions as the US on foods you can bring in. Feel free to bring in fresh produce, meats, and cheese.** Eggs and milk are provided for breakfast
7
ARRIVING IN HAITI
Passport and Visa You must bring your valid passport to enter Haiti. If your passport is set to expire within 6 months of your trip, you must renew it before coming.
U.S. citizens do not need a visa for a tourist stay of 90 days or less, but you will need to pay a $10 tourist tax upon arrival. As a safety precaution, safeguard yourself by making several copies of the information pages of your passport BEFORE leaving the United States.
Leave one copy at home with a reliable contact Pack one copy safely in your luggage, separate from the passport that you carry Give one copy to your team leader (he/she will scan and send it to
ReachGlobal’s U.S. based coordinator and bring the extra hard copy on the trip)
Airport Procedures: When you check in for your flight, you should be given luggage claim stickers. Please keep them because you will be asked to show them when you claim your bags in Port-au-Prince. On the plane you will be asked to fill out two forms: a customs form and an immigration form. Please fill your forms out before you leave the airplane. Here is some of the information you will need for those forms:
Reason for being in the country: pleasureAddress in country: Rue TiBoucan, Gressier, Ouest, HaitiPhone number in country (you can use any of the following):
Sharron Mathis - +509-4808-6705Dave Mathis - +509-3783-8742Jennifer Blevins - +509-4809-0895Stephanie Fry - +509-3705-3245
If you are not given these forms on the plane, look for someone who is handing them out in the immigration hall, before you go to pay your tourist tax.
Airport Arrival Procedure1. If you need to use the bathroom, there is one to the right as you enter the immigration hall.2. Go to the left in the immigration hall to pay your $10 tourist tax. (It is easier if you have exact change and have it ready ahead of time to avoid pulling out a wallet filled with cash in front of everyone).3. Get in line to pass an immigration officer. Show him/her your passport and hand in your green form. The officer will return the bottom of the green form back to you. DO NOT LOSE IT! You need this portion of the form to exit the country. 4. Proceed downstairs to baggage claim to pick up your luggage. (If you want a luggage cart, you can rent one for $2 off to the left. If you need a bathroom, there is one to the right of the baggage carousels. This may be your last chance to use a bathroom for more than 2 hours.) 5. Once you have your luggage, proceed to the exit. It is standard to have someone check your baggage claim ticket as you head to the customs line. 6. There will be a customs agent before you exit the building. Turn in your white customs form to the agent. You may also be asked to show your passport at this point.
8
As You Exit the Airport: We will have someone waiting for you as you exit the airport. Typically, it is a man named Wilbur and he is usually holding a sign that says “ReachGlobal.” He will help you with your bags and take you out to our vehicles. Please tip him $2-3 per person, up to $30—it is better to give all the tip money to the team leader ahead of time to avoid over/under tipping.
Do not be surprised by the crowd of people. Others (often in uniforms) will want to help you with your bags or offer you a taxi. Just say “no thank you” and keep moving. If someone does insist that he is there to help you, ask him what his name is. (Do not ask him if his name is Wilbur.)
If you are at all concerned, go back inside the airport and call one of the ReachGlobal Missionary Team members.
Drive from the AirportDriving through Port-au-Prince is quite an experience. You will be tempted to take photos, but we strongly advise against that. Taking photos could be offensive or draw unnecessary attention to the group.
9
WHILE IN HAITI
Where You Will ServeYou will be staying in the town of Gressier. It is about 20 miles outside of Port-au-Prince and in a more rural setting.
Housing and Sleeping Arrangements: The house where you will stay is called the Haitian Queen. There is no AC, but we do have 24-hour electricity. Because it takes a combination of solar, generator, and city power to provide that 24-hour electricity, we do ask you to be conservation-minded. You don’t need any special adaptors for your electronics, but we do highly recommend that you leave most of those items at home and keep them unplugged when not in use. (Usage of hair dryers and curling irons is discouraged). We can sleep 18 people inside our house in three rooms. For larger teams, we also have a bunkhouse on the property. Each room has bunkbeds with mosquito nets and foam or air mattresses. You will be provided with sheets, towels, and pillows. The rooms inside have a ceiling fan. All sleeping quarters have floor fans, and small personal fans are available for your use (bring your own batteries — 4AA or 2D). There is a safe for valuables; however, due to size limitation, the only items that the Haiti staff can place in the safe are passports/ I.D.s and credit cards. It is recommended that you do not bring valuables to Haiti.
Showers/Toilets: There are two bathrooms inside with showers for individuals to use. We also have two outside shower stalls and two outside toilets. The house is supplied with unheated water for bathing via a well system. Please keep showers short to save water. Toilet paper must not get flushed down the toilet due to the fragile septic system; instead it is placed into a wastebasket beside the toilet. We have both potable and unpotable water in the house. The team will show you which faucets are safe to drink from when you arrive. It is suggested that you use potable water to brush your teeth. Most places outside of our home will not have potable water, so please bring a water bottle to carry with you.
Meals: Our cooks will prepare a hot, filling meal every night except Sundays. Sunday dinner, along with all breakfasts and lunches will need to be prepared by your team (see packing list). There is a stove, oven, toaster, coffee maker, pans, and kitchen utensils at your disposal. If you have any significant dietary needs, please let your team leader know ahead of time so that we can make arrangements together.
Chores: 10
Team members will be expected to wash their own dishes and generally clean up after themselves. Any food can attract ants, so please be sure to close all food tightly and wipe down all eating/cooking surfaces when you are done using them. We also ask you to help by turning off lights, fans, and faucets when you leave the room.
Laundry: Laundry facilities are not available to team members. We will have a clothesline and bucket for hand washing. If you plan to do hand laundry, please bring your own laundry soap.
EmployeesWe do employ several Haitians to cook, clean, drive, and provide security for us. Some speak English, and some don’t, but we encourage you to engage them and show them your appreciation.
Local Currency: The currency of Haiti is Gourdes, or Goud (Creole spelling). Prices are often referred to in Haitian dollars, which is equivalent to 5 gourdes. You can go to http://www.travelinghaiti.com/haitian-currency.asp to see what the currency looks like and for current exchange rates. However, you won’t have any need for exchanging money during your time. You will be able to use US dollars to buy souvenirs (paintings, wooden sculptures and small jewelry).
Time Difference: Haiti is in the Eastern Time Zone.
Weather: The average temperature in Port-au-Prince is 90°F (27°C). Spring is the rainy season. Hurricane season is from June to November, which means it could be rainy or dry. December through February tend to be dry and a little “cooler.”
Appropriate Behavior:We live in a safe area, but safety is always a bigger concern when you are in an unfamiliar country and an unfamiliar culture. Please stay with the group and make sure we know where you are at all times. Should you get injured or feel ill during your stay, please let a ReachGlobal Missionary Team member know sooner rather than later. Keep track of your belongings. We don’t want to create opportunities where people would be tempted to steal. Please talk to the ReachGlobal Missionary Team members before inviting anyone onto our property. Do not exchange any of your contact information (including social media) with or give gifts to any of our Haitian employees, interpreters, or neighbors. This is for your protection as well as theirs, and it will help us to maintain healthier long-term relationships. If you have any questions or concerns, please talk to a ReachGlobal Missionary Team member.
11
You are welcome to take pictures while you are here, but please do not take pictures of any people without their permission. We are here to be learners and we are guests in this culture. Please help us show our respect for the people by trying to adapt to their cultural norms, dressing appropriately (see packing list), and not doing anything to draw too much attention to ourselves. We encourage you to ask questions but ask you to think about the words that you are using, being careful not to offend. Keep in mind that there may be someone within earshot who can understand what you are saying. Many can understand more English than they can speak.
12
RELEASE OF RIGHTS We live in a world that is full of rights. Our particular culture is one where we take pride in our rights. As a matter of fact, the rights of individuals are constitutional, but as we see the demanding of individual rights increase, we see much of the moral fiber of our society decrease. Our Lord Jesus Christ laid down his rights and all His glory, to the heavens, to become a man and to serve, not to be served. (Phil 2:5-11 and Mark 10:45)
We ask you to consider laying down your rights on this mission trip. Not to lay them down for better or for worse, but to entrust them to the Lord or transfer the responsibility of them to a place of safe keeping. These rights may seem reasonable but on a short-term mission trip they could cause dissension. Would you take time to search your heart and willingness to surrender your rights to the Lord? Romans 12:1
I GIVE UP MY RIGHT TO: I ENTRUST TO GOD:A comfortable bed My strength and enduranceHaving three meals a day My health and strengthHaving familiar food My likes and dislikes of foodDressing fashionably My security in HimSeeing results His purposes and fruit in His timingControl of myself My need for His Spirit controlControl of others His workmanship in othersControl of circumstances My circumstances to His purposes in
making me Christ-likeHaving pleasant circumstances The privilege of suffering for HimMaking decisions His sovereign hand on my lifeTaking up offense My deepest needsBeing successful My security in His loveBeing understood My reputationBeing heard My need for recognitionBeing right My need for His righteousnessOther: Other:
Policy Agreement, Permission, and Release of Liability Please complete each of the four gray blanks in the text with the appropriate information. Print 4 completed, two-sided copies of the form, and have each copy notarized (required). If on a team, please give 3 copies to your team leader 30 days before departure to the field. The 4th copy is for your
own record. Team leader: For each team member, please send at least 3 weeks prior to departure 1 notarized copy of this form to the appropriate address below. Give 1 copy to your church leaders, and bring 1 copy with you to the field.
If going as an individual , please send at least 3 weeks prior to departure 1 notarized copy of this form to the appropriate address below. Give 1 copy to your sending church, bring 1 copy to the field to give to the ReachGlobal staff or appointed host, and 1 copy is for your own records.
I do hereby acknowledge that I, _____________________ (your name) , consent to participate on a short-term mission in (location) during these dates _________ with the ReachGlobal team serving there, including but not limited to, foreign and domestic travel, ministry training, construction, outreach ministry, sightseeing, sports, recreation, and debriefing.
I agree to abide by the policies and rules set forth by ReachGlobal and such additional rules as are deemed necessary, for my management and safety, by the short-term mission leaders and/or supervisory personnel of and/or ReachGlobal. I realize that infraction of rules, misconduct, or culturally inappropriate behavior will result in my dismissal from the short-term mission. In the event that I am dismissed, I agree to return home immediately, entirely at my own expense. I understand that there will be no refund of the short-term mission package cost.
I, of my own free will and under no duress whatsoever, do absolutely and unconditionally release EFCA, ReachGlobal, ___________ (my church), their agents, employees, and volunteers from any liability whatsoever for any damage, loss, accident, hardship, injury, sickness, disease, or death that I may sustain for any reason during my travel and service with ReachGlobal, or from any other cause, event or occurrence, including, but not limited to, natural disasters, animal attack, terrorist acts, war, civil disturbances, and alleged negligence. I acknowledge and accept that, in any travel and on any construction site, there is inherent risk. I hereby fully and voluntarily accept such risk, and serve entirely at my own risk.
I fully understand and agree that ReachGlobal is opposed to the payment of ransom for the return of its members or their families who have been kidnapped for financial reasons, taken hostage for political reasons, or seized for any other purpose or reason. I agree to support the Crisis Management Team (CMT) appointed by ReachGlobal, should such an event occur, and further agree not to interfere with or bypass the crisis management process established by said CMT.
Any claim or dispute arising from or related to this agreement shall be settled by mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation, a division of Peacemaker® Ministries (complete text is available at www.HisPeace.org). Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction. The parties understand that these methods shall be the sole remedy for any controversy or claim arising out of this agreement and expressly waive their right to file a lawsuit in any civil court against one another for such disputes, except to enforce an arbitration decision.
I understand that ReachGlobal does not accept responsibility for any lost, damaged, or stolen personal property. Furthermore, ReachGlobal and its appointed short-term mission leaders, and/or personnel have my permission to authorize
medical treatment, including administration of medication, anesthesia, emergency surgery, or hospitalization for me as is deemed necessary by the aforementioned and the attending physician. I agree to assume complete financial responsibility for all medical bills incurred by me, and agree to reimburse ReachGlobal fully for medical payment made on my behalf. My major medical insurance policy covers me while I am abroad, or if not, I will purchase short-term medical insurance that will cover me on this short-term mission.
I agree to assume total financial responsibility for me to travel home immediately if it is necessary to dismiss me from the short-term mission for either disciplinary or medical reasons.
I do willingly affix my signature in full and unreserved agreement with all of the aforementioned statements and agreements.
X______________________________________________________ ____________________Legal signature of team member Date
13
RELEASE OF RIGHTS We live in a world that is full of rights. Our particular culture is one where we take pride in our rights. As a matter of fact, the rights of individuals are constitutional, but as we see the demanding of individual rights increase, we see much of the moral fiber of our society decrease. Our Lord Jesus Christ laid down his rights and all His glory, to the heavens, to become a man and to serve, not to be served. (Phil 2:5-11 and Mark 10:45)
We ask you to consider laying down your rights on this mission trip. Not to lay them down for better or for worse, but to entrust them to the Lord or transfer the responsibility of them to a place of safe keeping. These rights may seem reasonable but on a short-term mission trip they could cause dissension. Would you take time to search your heart and willingness to surrender your rights to the Lord? Romans 12:1
I GIVE UP MY RIGHT TO: I ENTRUST TO GOD:A comfortable bed My strength and enduranceHaving three meals a day My health and strengthHaving familiar food My likes and dislikes of foodDressing fashionably My security in HimSeeing results His purposes and fruit in His timingControl of myself My need for His Spirit controlControl of others His workmanship in othersControl of circumstances My circumstances to His purposes in
making me Christ-likeHaving pleasant circumstances The privilege of suffering for HimMaking decisions His sovereign hand on my lifeTaking up offense My deepest needsBeing successful My security in His loveBeing understood My reputationBeing heard My need for recognitionBeing right My need for His righteousnessOther: Other:
Subscribed and sworn to before me on this ______________ day of __________________ 20_______
___________________________________________________________ _________________Signature and seal of notary public My commission expires
14
Submit one notarized copy of this release and emergency information form to the correct address below for each person serving on:
A ReachGlobal Crisis Response Opportunity : ReachGlobal Crisis Response, 19380 N. 10th Street, Covington, LA 70433 All Other Short-term Mission Opportunities : ReachGlobal, 901 East 78th Street, Minneapolis, MN 55420-1300, Attn: CONNECT
Emergency contacts for:
Address: City: State: Zip: Home phone: Work phone: Cell phone: Email:
Health Insurance Company that will cover you during your Short-term mission experience:Company name: Policy: Account:
Primary emergency contact: Relationship to team member/leader: Address: City: State: Zip: Home phone: Work phone: Cell phone: Work hours: Email:
Alternate emergency contact: Relationship to team member/leader: Address: City: State: Zip: Home phone: Work phone: Cell phone: Work hours: Email:
Pastoral contact: Relationship to team member/leader: Address: City: State: Zip: Home phone: Work phone: Cell phone: Work hours: Email:
© 2013 ReachGlobal
15
POLICY AGREEMENT, PERMISSION, AND RELEASE OF LIABILITY FOR MINOR (1/2) Please complete each of the four blanks in the text with the appropriate information.
Print 4 completed, two-sided copies of the form, and have each copy notarized (required).
If on a team, please give 3 originals of this form to your team leader 30 days before departure to the field. The 4th original is for your own record. Team leader: For each team member, send 3 weeks prior to departure 1 notarized original of this form to the address below. Give 1 copy to your church leaders, and bring 1 original with you to the field.
If going as an individual, please send at least 3 weeks prior to departure 1 notarized original of this form to the address below. Bring 1 original to the field to give to the ReachGlobal staff or
If you need short-term medical insurance we recommend:
Gallagher Charitable International Insurance Services1-803-758-1400http://www.aaintl.com/
Or Insurance Services of America1-800-647-4589http://www.missionaryhealth.net/shortterm/
Or Your Travel Agent
Submit one notarized copy of this release and emergency information form to the correct address below for each person serving on:
A ReachGlobal Crisis Response Opportunity : ReachGlobal Crisis Response, 19380 N. 10th Street, Covington, LA 70433 All Other Short-term Mission Opportunities : ReachGlobal, 901 East 78th Street, Minneapolis, MN 55420-1300, Attn: CONNECT
16
POLICY AGREEMENT, PERMISSION, AND RELEASE OF LIABILITY FOR MINOR (1/2) Please complete each of the four blanks in the text with the appropriate information.
Print 4 completed, two-sided copies of the form, and have each copy notarized (required).
If on a team, please give 3 originals of this form to your team leader 30 days before departure to the field. The 4th original is for your own record. Team leader: For each team member, send 3 weeks prior to departure 1 notarized original of this form to the address below. Give 1 copy to your church leaders, and bring 1 original with you to the field.
If going as an individual, please send at least 3 weeks prior to departure 1 notarized original of this form to the address below. Bring 1 original to the field to give to the ReachGlobal staff or
POLICY AGREEMENT, PERMISSION, AND RELEASE OF LIABILITY for MINOR (2/2)
Emergency contacts for: _______________________________________ Address: City: State: Zip: Home phone: Work phone: Cell phone: Email:
Health Insurance Company that will cover you during your Short-term mission experience:
Company name: Policy: Account:
Primary emergency contact: Relationship to team member/leader: Address: City: State: Zip: Home phone: Work phone: Cell phone: Work hours: Email:
Alternate emergency contact: Relationship to team member/leader: Address: City: State: Zip: Home phone: Work phone: Cell phone: Work hours: Email:
Pastoral contact: Relationship to team member/leader: Address: City: State: Zip: Home phone: Work phone: Cell phone: Work hours: Email: © 2013 ReachGlobal
17
If you need short-term medical insurance we recommend:
Gallagher Charitable International Insurance Services1-803-758-1400http://www.aaintl.com/
Or
Insurance Services of America1-800-647-4589http://www.missionaryhealth.net/shortterm/
Verification of Overseas Medical Insurance CoveragePlease return this form at least 30 days before the start date of your mission
Name of Team Member Name of sponsoring church Country of service
The Evangelical Free Church of America, ReachGlobal requires that all missionaries serving with the denomination have adequate medical insurance coverage. In addition, we require emergency evacuation insurance. If your insurance company does not offer emergency evacuation insurance or if you want to compare costs, we suggest you contact one or both of the insurance companies listed on the second page of the Policy Agreement, Permission, and Release of Liability form found in this packet.
Some family health insurance policies will cover short-term overseas travel. Some do not. You must verify with your insurance carrier that your current policy will cover you while you are on the mission for which you are applying. Please return this completed form to [email protected] as early as possible.
CURRENT POLICYInsurance Company: Company Address: Policy Number: Phone Number:
EMERGENCY EVACUATION POLICYInsurance Company: Company Address: Policy Number: Phone Number:
Please initial the appropriate statements below:
I have checked with my insurance company, and my current health insurance policy does cover the missionto for which I have been accepted.
I have checked with my insurance company, and my current health insurance policy does not cover the mission to for which I have been accepted.
If your current health insurance policy does not cover your mission, you may secure a short-term overseas policy from your insurance agent.
My current policy does not cover me out of country. The following company will insure me for the summer:
OVERSEAS POLICY
Insurance Company:
Company Address: Policy Number: Phone Number:
____________________________________________________________________________________Signature of parent, legal guardian, or team member of legal age Date
18
2007
PHOTO RELEASEI hereby grant to the Evangelical Free Church of America (EFCA) and to its employees, agents and assigns the right to photograph me or my dependent and use the photo and or other digital reproduction of him/her or other reproduction of his/her physical likeness for publication processes, whether electronic, print, digital or electronic publishing via the Internet.
Model’s signature:_________________________________________________________Model's Printed Name: ________________________________________________________
Address: ________________________________________________________________________________________________________________Date: ___________________________
For minor children:I certify that I am a custodial parent and have the aforementioned rights to assign. Signature of Parent or Guardian: ____________________________________________________________________Print Name of Parent or Guardian:____________________________________________________________________Address: ________________________________________________________________________________________________________________
Date: ___________________________
19
EMERGENCY CALLS TO HAITI:
The bottom half of this page is designed to be left with church or family members in the US. Please follow these instructions to complete the form.
1. Write in the name and phone number of your Haiti team leader or the designated team member who is prepared to receive phone calls while in Haiti on line 1 below.
2. Know your Haiti Missionary Team point of contact and circle their name and contact information listed under number 2 below.
Emergency Calls to Haiti
In case of an emergency while your loved one is in Haiti (meaning it is of such importance that waiting until their return is not an option), you can follow these steps to contact someone on the field. 1. Call the Haiti team leader or designated team member listed below:
Name: ________________________________Phone Number: ________________________2. If you cannot get a hold of the above person, feel free to call or email the ReachGlobal Missionary team point of contact circled below:
Dave Mathis (leader)Sharron Mathis (leader)Jennifer BlevinsStephanie [email protected]
[email protected]@[email protected]
(+509) 3783-8742(+509) 4808-6705(+509) 4809-0895(+509) 3705-3245
3. If you cannot reach anyone above or are struggling to make and international phone call, please contact the ReachGlobal Crisis Response office:
[email protected] 985-888-1060 Someone on staff will help you get in touch with the Haiti group as quickly as possible. Please provide the following:
- Your full name- The full name of the person you are trying to reach- The nature of the emergency- The name and phone number of who to call back, if the person is other than you.
4. If none of the above works, you can contact the EFCA National Office (8:00 am - 4:30 pm, Monday - Friday, Central Daylight Time (CDT):
800-745-2202 —Ask for Reisa Abercromie.
20
SAMPLE SUPPORT LETTER
Church Logo Date
Dear Friends, I am excited to share with you that I will be participating on a team from our church that is going to Haiti. We will be working with ReachGlobal, the missions arm of Evangelical Free Churches of America. Our team will be serving with ReachGlobal staff who work to share Christ’s love in the local communities through intentional disciplemaking and holistic ministry partnerships. The cost of the trip will be about $_____ for airfare, housing, ground transportation, meals, etc. Each team member will be contributing towards these expenses and our church missions fund will help, too.
We need additional help from interested friends and family members. If you would like to be part of my support team, please tear off and return the response slip below and mail your contribution to our church office or me. Please make your check payable to: church address In addition, we also need people who will commit to pray for our team as we prepare and go to Haiti. If you would be willing to be part of our prayer team, please return the response slip below. Pray for our safety as we work and for opportunities to share with the people we will be helping during our week in Haiti. Thank you for your prayers, financial support and overall desire to send me to Haiti!
Your Name
- - - - - - - - - - - - - - - - - - - - - - - - - Please tear off & return - - - - - - - - - - - - - - - - - - - - - - -
Yes, I/we want to partner with Your Name as you prepare and go to Haiti.
Name: _________________________________ Email: __________________________Address: ________________________________________________________________City: ________________________State: ____________ Zip: ______________________
I/We commit supporting Your Name through: Prayer: _____ Financial Support: $ _________ [ ] check enclosed
If I am unable to participate on the team due to illness or an unforeseen situation, please understand that your gift of support will used for ongoing ministry in Haiti
21
22