Rahab s Rope Application Instructions:

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1 We are so excited to have you join our work in India. The first step in the process for any volunteer is to fill out the following application in full. Rahab s Rope Application Instructions: Complete the following application and mail or your completed application to Rahab s Rope. If submitting by , send to: If submitting by standard mail, send to: Rahab's Rope P.O. Box Gainesville, Ga If you have questions or need additional information regarding the application process contact: Jillian Hensley Director of Recruiting and Mobilization P.O. Box Bradford Street SE Gainesville, Georgia

2 Rahab s Rope Love in Action India Ministry Application Long-Term Team Member Application Application Date: Position Applying For: Dates Available: Desired Length of Stay (6 mo, 1 yr, etc.): Personal Information Name: Last First Middle Street Address: City: State: Zip Code: Home Phone: ( ) - Work Phone: ( ) - Cell Phone: ( ) - Gender: ( ) Male ( ) Female Date of Birth: Marital Status: (circle one) Single Engaged Married Widowed Separated Divorced If Married, Spouse s Name: If you have children, how many? Do you regularly attend church or a small group disciple-making study group? ( ) Yes ( ) No Please give info of church and or small group leader and how long you have attended: How did you learn of Rahab s Rope?

3 References Spiritual Reference: List a church leader or pastor who knows you and could best serve as a reference. Name: Phone number: Occupation or Relation to you: Years Known: Personal/Employer Reference: Name: Phone number: Relation to you: Years Known: Passport Information Do you have a passport? ( ) Yes ( ) No ( ) Applying Name (as it appears on your passport): Passport Number/Issue Date: Nationality/Place of Issue: Passport Expiration Date: Travel Insurance Information Rahab s Rope will purchase traveler s insurance on your behalf. Please list your beneficiary for this purpose below. Name Relationship

4 IF YOU HAVE BEEN ON A SHORT-TERM TRIP WITH Rahab s Rope YOU ONLY NEED TO ANSWER THE QUESTIONS MARKED WITH AN *. Please answer to the best of your ability the following questions. Feel free to use another sheet of paper. Personal Background Please share your story of salvation in Jesus Christ with 200 words or less. Describe two or three defining moments in your spiritual journey and explain their significance. What do you believe is the biblical purpose/goal of global missions? *Tell us more about your talents, work experiences, skills, and/or foreign languages that may be helpful for the position. Please indicate your level of proficiency: working knowledge, fluent, etc. Ministry Experience List ministries that you have been involved in, both past and present. Include length of involvement. List any cross-cultural and global missions experiences you have had (beginning with the most recent). Indicate the length of each, the country, and the ministry name or organization. Also indicate if you have ever held a leadership position. List any other international travel experience This Position * Please describe why you feel lead to volunteer through Rahab s Rope? A complete application packet includes the following: This application Answers to the above questions regarding personal background, ministry experience, and this position Medical Release Form and Disclaimer (below) Volunteer Agreement (below) A color copy of the endorsement page of your passport (the one with your photo, expiration date and signature). This may be submitted upon receipt of your passport if you are in the process of applying for one.

5 Disclaimer Please initial in the space provided as an indication of understanding and agreement of the statements. Rahab s Rope will not be responsible for extra trip expense (i.e., any transportation or hotel fare changes). Should these occur, they will be passed along to the traveler. I will agree to return home at my own expense if the Rahab s Rope staff determines my behavior is/has been inappropriate and therefore is jeopardizing the short and/or long-term ministry. I understand that my involvement can be denied prior to travel in the event that I do not participate in the full preparation of the position (i.e., Training). In submitting this application: I am expressing my agreement with Rahab s Rope s Vision, Mission, Goal, Values, and Strategy I am willing to work under the direction of Rahab s Rope, the Team Leader, and Field Partners to accept and to perform any and all assignments with a God-honoring attitude. I am willing to conform to the standards of the national Christians, even if those standards are stricter than my own. I agree to be subject to a background check. I am confirming that I have the time and energy to devote to the position, including preparation prior to departure, and follow-up after returning I have read and agree to the below deposit and payment information. Signature / Date Registration Registration is complete for a participant only once application has been approved and $150 deposit has been submitted to Rahab s Rope. Registration can be initiated by turning in the application but will not be complete until applicant has been accepted and deposit has been received. Support-Raising Schedule All payments for Rahab s Rope Mission Trips should be made payable to Rahab s Rope. $150 non-refundable, non-transferable deposit to be made within two weeks of acceptance. $2000 due 60 days prior to departure 75% of total support due at time of departure, with additional 25% committed through pledges Note: No refunds can be given for excess funds donated as they are specifically donated to Rahab s Rope. Excess funds will be used for designated ministry.

6 Rahab s Rope Medical Release / Permission to Treat Form Team Information (if known) Team Leader: Trip Location: Trip Dates: Personal Information Full Name: Gender: SSN: DOB: Age: Address: City: State: Zip Code Home Phone: Cell Phone: Parent/Guardian (if younger than 19 years old): Emergency Contact Information Please provide the name and contact information of two individuals not traveling with your team who may be contacted in the event of an emergency. Name: Relationship to You: Phone: Alt. Phone: Name: Relationship to You: Phone: Alt. Phone: Insurance Information Please attach a copy of the front and back of your insurance card. Insurance Company: Policy Holder: Relationship: Policy #: Group #: Ins. Co. Address: Phone: Medical Information Primary Care Physician: Physician Address: Phone: Do you have any allergies? yes no If yes, please explain: List any specific medical conditions requiring medical treatment and/or medication:

7 List ALL medication taken on a regular basis: List all operations/serious injuries (include dates) within the past five years: Have you had contact with contagious or infectious diseases within the last four weeks? yes no If yes, please explain: Do you have any special dietary restrictions? yes no If yes, please explain: What type of pain medication may be given if necessary? Emergency Authorization I hereby give permission to medical personnel selected by my team leader or his/her designee (hereafter the Authorized Agent) to order X-rays, routine tests, and treatment for me. In the event of an emergency and neither my primary nor secondary contact can be reached, I hereby give permission to the physician selected by the Authorized Agent to secure proper treatment, hospitalize, order injections and/or anesthesia, and/or authorize surgery for me. I further authorize the release of the above medical information to appropriate medical personnel and/or the health coverage insurance company. In addition, I have, and do hereby, release Rahab s Rope, its employees or agents, and in country contacts from liability associated with participation in a mission trip. I understand that if I do not have medical insurance, I will be responsible for any medical expenses in the event of a sickness or injury. I understand that there are risks involved in participating in a mission trip. Signature: Date: (Must be signed by a parent or guardian if under 19 years of age.)

8 Volunteer Agreement Please read the following policies, and sign the document to demonstrate your agreement to abide by them during your time with Rahab s Rope. Alcohol consumption of any kind or use of tobacco products is unacceptable during your time in India. Culturally it is perceived as highly inappropriate for a Christian to consume alcohol or smoke. No drugs (outside of medical purposes) are permitted. Never go anywhere alone. Always travel with at least one other person. Tattoos and piercings may not be acquired during your time in India. For those with existing tattoos/piercings, on rare occasions tattoos may need to be covered, and piercings removed in order to be considered appropriate. Your field contact will make you aware of these times. Starting a dating or physical relationship of any kind is forbidden during your time as a volunteer with Rahab s Rope. This includes other volunteers, locals, and anyone else you might meet during your time in India. It is distracting to the ministry, and can result in a volunteer being immediately sent back to the U.S. All volunteers must be willing to comply with the standards of appropriate behavior for local Christians, even if those standards are stricter then the volunteer s own. I have read the above policies, and agree to them in full. Should I breach any of these policies I understand I will be sent home at my own expense. Signature Date

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