CONTAINERS OF HOPE
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Containers of Hope Mission Trip Application
Returning Members
April 2020, Liberia, West Africa
General Information
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Indicates required field
Name
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First
Last
Gender
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Male
Female
Age
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Birthdate
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Grade (if currently in school)
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What school do you attend?
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Phone Number
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Do you have any allergies?
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Yes
No
If yes, please explain:
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Do you have any dietary restrictions?
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Yes
No
If yes, please explain:
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Are there any medical conditions we should be aware of?
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Yes
No
If yes, please explain:
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If under 18:
Parent/Guardian Name
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First
Last
Parent/Guardian Name
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First
Last
Phone Number
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Phone Number
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Reference
Please list someone who knows you personally and spiritually.
Name
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First
Last
Relation
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Phone Number
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Short Answer:
When was your last Containers of Hope mission trip?
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Please share the highlights of your Containers of Hope trip.
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What was the most surprising thing you weren't prepared for?
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Where do you feel your focus was while on the trip?
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Would you do anything differently?
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What do you feel you offered to Team Liberia?
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Please give a detailed explanation of why you want to be part of the next Team Liberia.
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Is there anything you would like to see done differently on the trip?
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What character traits do you have to offer to the team?
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Our focus will be highly leveraged on improving education at TLP. With that in mind, what ideas might you have, if any, to improve education at TLP?
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What have you done to promote Containers of Hope since returning from Liberia?
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Do you feel God calling you back to Liberia? If so, why?
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Is there any other information you think we should know in making our decision about the team?
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Would you be able and willing to miss up to 2 weeks of school or work to serve on this trip?
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Yes
No
Do you have a current passport with available visa pages?
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Yes
No
A Release of Liability form will be required for each team member.
A signature by both parents will be required for all team members under the age of 18.
A $300 deposit per person is required upon acceptance on the team.
I, the Applicant, understand that I will be held responsible for the financial and moral obligations of the Containers of Hope mission trip should I be chosen for the team. I agree to acquire the appropriate immunizations and documents in a timely manner necessary for the trips success. I agree to participate fully in the team, including meetings prior to the trip and presentations following.
Applicant Signature
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Date
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If under 18, for parents/guardians:
I, the Parent or Legal Guardian of the Applicant, allow my child to participate in the Containers of Hope mission trip. I will make sure he/she attends all meetings, obtains appropriate immunizations and documents, and adheres to all responsibilities of being a member of the team.
Parent/Guardian Signature
*
Date
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If you are under 18, a parent must accompany you and submit a Parent Application, which can be found
here
or under the Apply banner on our site.
Name of parent that will accompany you
*
Parent's Email
*
Submit
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