7/25/2019 A Greater Hope for Cambodia Team Application

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A Greater Hope for Cambodia

APPLICATION FOR VISITATION

Personal Information Please complete the following information that matches your passport.

Name: _________________ Todaysdate: ___________________ Birth date: __________________

Address: ____________________________________________________ (Street City State country Zip)

Home Phone: ______________ Email address: ________________________

Drivers license number(ID#): _________________________State of issue ________ Exp.__________

Passport number: _________________ Country________________ Date of issue and exp._______________________

The church you attend regularly: _____________________________ Length of time at this church? _____________

When and where did you accept Jesus Christ as your Lord and Savior? ___________________________________

Briefly share your testimony and current relationship with Jesus Christ.

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Describe any other mission trips you have been on.

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Please list church groups/activities and ministries you were involved with at your place of worship.

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Training, Experience, Hobbies, Certifications, or Licenses you have had that you can apply to your visit.

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Have you ever been convicted of, or pled guilty or no contest to a crime other than a minor traffic violation, or are you

now under charges for any criminal offense? A criminal conviction will not necessarily disqualify you from consideration.

Yes: If yes, please explain fully below. ___________________________________________________________________

Use the backside of this page to write any additional comments that you would like to make about your background.

References:

Name of a Pastor at your church we can contact for reference.

Name: __ _______________________ Phone: ________________ Email address: _______________________________

List below two personal (nonfamily) references from your church who are well acquainted with you.

Name: _______________________ Email address: _________________________ Phone #________________________

Name: _______________________ Email address: _________________________ Phone #________________________

I am willing to submit to the guidelines and authority of the Directors and staff at CCF and AGHO. ____________ (Initial)

I understand that we will contact these references and conduct a records check on me. ___________________ (Initial)

I will provide references with the expectation that WE will contact them about my character and heart to serve.

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I understand that the use of tobacco, alcohol and/or illegal drugs on the Ministry premises is not allowed. _____ (Initial)

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7/25/2019 A Greater Hope for Cambodia Team Application

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THIS WE BELIEVE:

The Bible is the inspired Word of God and the final authority for our faith and conduct. God is the creator of man and all

things, eternally existing in the three persons of Father, Son and Holy Spirit. Jesus Christ is the Incarnation of God in theflesh who became man, without ceasing to be God, and through whom we receive forgiveness of sins and the promise

of eternal life. The Holy Spirit is the third Person of the Trinity, who indwells, regenerates, seals, anoints, empowers and

gifts all believers. Sin is rebellion against God and His commands. The sin nature is within everyone causing us to be

separated from God and destined for His judgment. Salvation is the gift of God brought to man by grace and received by

personal trust in Jesus Christ. It encompasses the forgiveness of all our sinspast, present and future. The Church is the

worldwide Body of Christ on earth, with Jesus as its Head and comprises all believers who have placed their faith in

Jesus. Do you agree with this statement?

Yes: ______________ (Initial)

Statement of Consent and Release:

To the best of my knowledge, the information I have provided in this application is true and correct. I agree that the

following conditions will apply to all visits to A Greater Hope for Cambodia ministries and that if any of these conditions

are broken, A Greater Hope for Cambodia and it's ministries directors has the right to cancel the visit without

reimbursement of any kind. To obtain permission to visit any of A Greater Hope for Cambodia ministries, I will must

have application approval in advance of my visit, regardless of whether this is a first time visit or repeat visit. All future

visits to A Greater Hope for Cambodia ministries must be agreed upon in advance, in writing, by A Greater Hope for

Cambodia ministries.

I will show respect to the staff, children, families and communities that I meet, and take into consideration the culturalsensitivities of Cambodia. I will show respect to the children I meet and avoid flirting, unwelcome flattery, or making

suggestive comments. I give consent to my references to provide A Greater Hope for Cambodia ministries with any

information regarding my character for my visit to AGHFC. I release and hold harmless any individual, organization,

official or reference whether or not identified in this application from any and all liability for damages of any kind, which

may result to me on account of compliance with this authorization. I will not hold A Greater Hope for Cambodia

ministries or parent ministries responsible for any injuries or accidents that may occur during my visit. I understand that

living conditions in Cambodia overall are harsh as compared to Western standards. Food related illness and less

comfortable conditions may be experienced on my visit.

By my signature, I acknowledge that I have read and understand this Statement and Release and agree that a photocopy

or facsimile or return of signed email will be as valid as the original.

Signature ______________________ Name: _______________ Date ____________________

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