westerly road church - stone hill church of...
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STONE HILL CHURCH OF PRINCETONShort-Term Missions Checklist
(for you to keep)
Submit Now□ Completed Short-Term Missions Application
□ Signed Confirmation of Missions Calling
□ Signed Statement of Faith
□ Completed, Signed, Pastoral Reference
□ Completed, Signed, Personal Reference
Submit Later□ SHCP Liability Form
□ Trip Bio
□ International Insurance
□ Passport copy submitted
□ Support Letters Sent _________________date
□ Scholarship Application
□ Scholarship Funds received from donors
□ Funds Paid in Full
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STONE HILL CHURCH OF PRINCETONShort-Term Missions Application
Trip for which you are applying _________________________ Today’s Date ______________
Name (as it appears on passport) __________________________________________________
Address ____________________________________ Tel.: (Home) ______________________
___________________________________________ (Work) ______________________
___________________________________________ (Cell) ______________________
Email address(es): (Home) ____________________ (Work) ____________________________ (May we contact you at your work email address? ________)
Date of Birth _________________________________ Citizenship: ______________________
Marital Status (check one): ____Single ____Married ____Separated ____Divorced
Passport Number: ________________________ Passport Expiration Date: _______________
Dates of Intended Project __________________ Total Cost (if known) ___________________
Application Deadline: ____________________________
1. Please mark as appropriate: I am: _____ a member _____ a non-member
_____ a regular attendee for ____ months/years (circle) / ____ a new attendee of
_____ SHCP / _____ other church (please state:______________________)
2. Are you a member of a Small Group at Stone Hill Church? ____Yes ____No If “Yes,”, for how long? _____________ Please provide leader’s name and contact information:
If “No,” what are the reasons?
Your answers to the following questions will help the SHCP Short-Term Missions Committee evaluate and determine your participation in a mission trip. Prompt submission of your application is requested by the deadline date – all applications not received by that date will not qualify. Complete all sections. Please print clearly and answer all questions to the best of your ability.
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3. With what ministries at Stone Hill Church of Princeton have you been involved? Please provide ministry contact person’s name and info. (Or, if you are not involved with SHCP, please describe your present involvement with your home church.)
Please give details of ministry contact persons name & information:
4. Why do you want to be part of this particular missions trip?
5. Have you ever served as a missionary, either short-term or long-term? ____ Yes ____ No If “Yes”, please describe your involvement.
6. If you are not a U.S. citizen, will the host country grant you a visa? _____ Yes ____ No
7. How might your skills, talents, training or gifts be useful on this particular project?
8. What are your expectations regarding this project?
9. What languages do you speak fluently?
With what other languages are you familiar, and to what extent?
10. A mission’s trip requires a major time commitment. In addition to the trip itself, the team meets for training at least 2 hours per week for 6- 9 weeks prior to the trip. After the trip, all projects require a debriefing meeting and the completion of an evaluation form.
Are you willing to commit to the necessary time requirements for this trip? _________ What possible time conflicts might you have during the preparation and debriefing
periods? Please attach a separate sheet with all known conflicts. Do you understand that flexibility is a must? ___________
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11. *Relationship building is a challenging part of team experience. Please note that failure to comply respectfully with the Team Leader/Point Person or Missions Director could result in termination
Are you willing to respect & submit to the team? ________ Yes _______ No If you have recently felt misunderstood or wronged, please describe how you responded.
12. Do you have any health, medical, or dietary restrictions? If so, please explain.
13. You will need to raise your own support for this project. Are you committed to this process, and also willing to trust God’s direction through the results? ____________
Our policy is to report total support raised by each team member, and not the amount of each individual gift. If you have questions, please ask your team leader for details. Please be aware that in order to go on the mission trip, you must raise a minimum of 80% of your support a week before departure.
14. Various cultures hold different attitudes toward certain behaviors. Do you hereby pledge, for the sake of Christ’s church worldwide, to follow the guidance of national Christian leaders in matters such as appropriate attire, touching between the sexes, dancing, use of alcohol and tobacco, etc.? ___________
Signature: _____________________________________ Date: ______________________
Please return this form to: Carine Toussaint – Director of Global Outreach Stone Hill Church of Princeton
1050 Bunn DrivePrinceton, NJ 08540
Please sign the Confirmation of Mission Calling (form attached) and return it with your application by the appropriate deadline of your short-term mission trip. Please read everything carefully.
Please submit & sign the Statement of Faith along with the Pastoral Reference and Personal Reference. (forms attached)
Please understand that by signing these documents you will be submitting to a code of conduct that befits a Christian representing Christ and SHCP and that behavior that is not respectful to the team leader and to authority or to team members will result in termination of your participation of this and future mission trips.
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Confirmation of Mission Calling
Stone Hill Church of Princeton’s leadership seeks to help you to clarify whether or not this is the proper time for you to participate in a Short-Term Mission Project.
Please understand that the SHCP Leadership may recommend that you cancel your Missions trip if a problem arises in regards to the expectations noted below.
Providing Proper Documentation
Active passport within one’s possession Visa (if applicable)
Conduct: A Willing Attitude & Teachable Spirit
To submit to the leadership Mission Director, Point Person, Team Leader To respect and cooperate with others To serve others To be culturally sensitive with regards to dress and actions To abstain from alcohol or tobacco if requested by host missionary To miss only one training session for a reasonable excuse
Raising Support Raising 80% of funds one week prior to departure
Willingness to Cancel for well-being of the Team
Health problem or sickness Unexpected crises that might hinder participation or create relationship problems
I, ___________________________________, if chosen for the Short-Term Missions team to
_____________________________, agree to abide by the expectations listed above.
Signature: __________________________________ Date: ______________________
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Statement of Faith
1. We believe in the Scripture of the Old and New Testaments as verbally inspired by God and inerrant in the original writings, and that they are of supreme and final authority in faith and life.
2. We believe in one God, eternally existing in three Persons: Father, Son and Holy Spirit.
3. We believe that Jesus Christ was begotten by the Holy Spirit, born of the Virgin Mary, and is true God and true man.
4. We believe that man was created in the image of God, that he sinned, and thereby incurred not only physical death but also that spiritual death which is separation from God; and that all human beings are born with a sinful nature, and in the case of those who reach moral responsibility, become sinners in thought, word and deed.
5. We believe that the Lord Jesus died for our sins according to the Scriptures as a representative and substitutionpary sacrifice; and that all who believe in Him are justified on the ground of His shed blood.
6. We believe in the resurrection of the crucified body of our Lord, in His ascension into heaven and His present life there for us as High Priest and Advocate.
7. We believe that our Lord and Savior Jesus Christ will personally return and set up His Kingdom wherein He will rule and reign in righteousness.
8. We believe that all who receive by faith the Lord Jesus Christ are born again of the Holy Spirit, and thereby become children of God.
9. We believe in the bodily resurrection of the just and the unjust, the blessedness of the saved and the retribution of the lost.
Print Name _________________________________________
Signature ____________________________________ Date ___________
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SHCP MissionsShort-Term Mission Personal Reference
Name of Applicant ________________________ Project Location ________________________
1. a) How long have you known the applicant? In what context?
b) What is your current relationship with the applicant?
2. a) What do you think are the applicant’s strengths / skills / gifts?
b) What are weaknesses / areas that need developing for the applicant? Please be specific.
c) Which level on the spiritual path do you think best describes the applicant: (Circle one)
(Baby Christian/New Believer), (Growing but not yet mature), (Mature Believer)
3. In your estimation, how well does the applicant exhibit a teachable spirit?
(Not teachable) 1 2 3 4 5 (very teachable)
4. How would you describe the applicant as a team player?
___ Causes friction ___ Usually cooperates with others
___ Seeks to dominate ___ Works well with others
___ Seldom cooperates with others ___ Works very well with others
5. In what ways have you seen the applicant handle change or stress?
6. How have you observed the applicant react to decisions he/she doesn’t like – in terms of response to those in authority and, if applicable, to those under them? Give examples.
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7. Have you known ways in which the applicant has been rebellious or unreliable? Please be specific.
8. In what ways does the person exhibit a servant’s heart? And, how do you see the Lordship of Jesus Christ demonstrated in this person’s life?
9. Describe how observant of others’ moods, feelings, thoughts, and desires this individual seems to be. Does the applicant care deeply about others and their spiritual needs? How have you seen these attitudes emerge in daily life?
10. Would you recommend this person as a team leader? Why or why not?
11. On the reverse side of this sheet, please make additional comments that might help us, and the applicant, serve in this project:
Signature _______________________________ Email ____________________________
Print Name ______________________________ Telephone ________________________
Please return this form to: Carine Toussaint, Missions Director, Stone Hill Church of Princeton, 1050 Bunn Drive, Princeton, NJ 08540. Please place form in a sealed envelope marked “confidential”.
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Church Leader/Pastor ReferencePlease omit all questions about which you have no opinion or conviction.Check the rating, which indicates your estimate. Additional remarks for fuller explanation will be most helpful to us.
Rating Remarks
Christian Service____ Very active in church______ Occasional assistance______ Regular attendance only______ Sporadic attendance
Tactfulness____ Very sensitive to others______ Usually courteous______ Blunt, outspoken______ Insensitive to others
Emotional Stability____ Emotionally Stable______ Well Balanced______ Unresponsive______ High strung, but controlled______ Excitable—easily upset
Industry____ Hard worker______ Moderate______ Enough to pass______ Lazy
Leadership____ Inspiring leader______ Usually successful______ Able to lead, but not eager to lead______ Good follower
Initiative____ Always takes the initiative______ Sometimes takes the initiative______ Usually needs to be told what to do______ Needs constant pressure
Cooperation____ Works well with others ______ Works well under others______ Cooperative only under pressure______ Not cooperative
Judgment____ Discerning______ Good common sense______ Average______ Poor sense of values
Sense of Responsibility____ Excellent______ Usually accepts______ Must be prodded______ Avoids when possible______ Generally irresponsible
Personal Appearance (looks and dress)
____ Well groomed______ Neat, plain______ Neglects fine details______ Careless
Intelligence____ Very superior______ Alert (above average)______ Average______ Below average
Applicant Name: _________________________________Trip Destination: ____________________________________□ I recommend □ I do not recommend□ I recommend with this reservation: _____________________________________________________________________________
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Signature: ________________________________________ Telephone (___) ________________________________Mr. Mrs. Miss. Ms. (circle one) **PLEASE PRINT BELOW** Name: __________________________________________ Position: _______________________________ Date: ______________
Address: __________________________________________ City: ____________________________ State: ________ Zip: ________Please Return to: Carine Toussaint, Director of Missions- Stone Hill Church of Princeton
1050 Bunn Drive, Princeton, NJ 08540
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