Dear Brother or Sister in Christ,

We praise God for your interest in learning more about short-term mission work! We are so excited that you are acting on the Great Commission and Great Commandment through your potential participation as a Haiti missionary in support of Generations of Hope, Haiti (GO-Haiti).

GO-Haiti is a non-profit organization committed to reaching the lost and poor of Haiti at any cost. President and founder, Dr. Franco Jean-Louis has been working diligently with a variety of Christian organizations as a missionary medical doctor since 1995. His goal has always been the same: to meet the physical and spiritual needs of the Haitian people, especially abandoned children and the sick; to empower and impact Haitian society's current and future generations; and to achieve economic self-sufficiency in the areas of health care, education and spiritual guidance by caring for orphaned and abandoned children.

The goals for Haiti Mission Teams are:

• To serve as ambassadors of Christ and messengers of reconciliation by bringing God’s love, finances, physical labor and other resources to share with the GO-Haiti children, staff and surrounding community. (2 Corinthians 5:18-20; Acts 2:42-47; Hebrews 13:16; 1 Timothy 6:18; Luke 3:11; Romans 12:13)

• To provide encouragement, prayer and support for Haitian saints struggling with spiritual strongholds. (Romans 12:1-2; 2 Corinthians 10:3-5; 1 Corinthians 10:13; Ephesians 6:10-13)

• To gain a closer relationship with God and God’s people through Bible study, Sunday school, corporate prayer and opportunities to serve. (Psalm 100; 1 Thessalonians 5:11; 2 Timothy 2:15)

• To exemplify unity in the vast body of Christ to our local and Haitian brothers and sisters by submitting and obeying leadership, remaining humble in spirit and considering others more significant than ourselves and maintaining a spirit of praise and servitude. (Psalm 133:1; 1 Peter 3:8; Hebrews 13:16-17; Mark 10:45; Philippians 2:3-4)

• To risk hunger, thirst, sleeplessness, discomfort, sickness, persecution, injury and potentially death in order to fulfill God’s calling on our lives. (Psalm 96:3; Psalm 105:1; Isaiah 12:4; Matthew 28:19-20; 2 Corinthians 11:24-28)

As an individual who is committed to working with GO-Haiti, you are valued and supported. There are standards for you and your protection. These standards apply during any meeting, mission trip or event that is developed, promoted and supported by GO-Haiti on or off-site. All mission workers will be given a job description of their responsibilities and will be expected to perform the services outlined in the description to the best of their ability.

Mission trips are not for the faint of heart.  This is by no means a vacation.  Mission work is serious business requiring serious work.   This is a commitment that involves risks to healthy lifestyles and the normal conveniences we experience in our day-to-day lives.  Saying hello to mission trips may mean saying goodbye to our everyday comfort food, comfortable housing and clothing.  It will challenge you, grow you and cost you!

Team members must observe the “two adult/open door” rule, which requires an adult working with anyone under the age of 18 to be accompanied by another adult or to provide visual access to the room (through an interior window or open door). Relationships of a romantic nature or inappropriate relationships between team members and the Haitian people are strictly prohibited. If the team member is found to be in an inappropriate or romantic relationship, they will be dismissed from serving in future events or trips and the church leadership and the appropriate authorities will be made aware of this decision.

If you are truly committed to advancing God’s kingdom through participating in short-term mission work with GO-Haiti, we encourage you to thoroughly review this guide and be in contact with me to discuss and plan a trip.

I look forward to hearing from you soon!

Sincerely,

Cheryl W. Oldham

Cheryl W. Oldham, GO-Haiti Mission Team Lead Coordinator

202-271-2223

Generations of Hope, Haiti, Inc. is a federally recognized public charity exempt under section 501 (c)(3) of the IRS Code. EIN: 45-2385027

Personal Packing Checklist

• ¨  Team shirts                                      
• ¨  Pants
• ¨  Underwear
• ¨  Bras (for women)
• ¨  Pajamas
• ¨  Socks
• ¨  Shower shoes
• ¨  Sneakers
• ¨  Bug repellant lotion, travel size
• ¨  Shampoo/conditioner, travel size
• ¨  Deodorant
• ¨  Hair gel/grease, travel size
• ¨  Sun hat
• ¨  Hand sanitizer, travel size (2)
• ¨  Snacks
• ¨  Wet ones (hand sani)
• ¨  Flushable wipes or baby wipes, travel size
• ¨  Reusable water bottle (empty)
• ¨  Soap
• ¨  Toothbrush
• ¨  Toothpaste, travel size
• ¨  Night guard (if applicable)
• ¨  Ear plugs
• ¨  Hair brush
• ¨  Hair elastics (if applicable)
• ¨  Facial wipes, travel size
• ¨  Sunscreen, travel size
• ¨  Tissues, travel size (3)
• ¨  Toilet paper (1 roll)
• ¨  OFF clip
• ¨  OFF clip refills
• ¨  Batteries (different sizes as needed)
• ¨  Flashlight
• ¨  Vitamins
• ¨  Camera and charger
• ¨  Cell phone and charger
• ¨  Dental floss
• ¨  Journal
• ¨  Passport (this is your form of ID – driver’s license not needed)
• ¨  Contact information for customs use
• ¨  Bathing suit
• ¨  Towels (2)
• ¨  Washcloths (4)
• ¨  Garbage bag (1)
• ¨  Tylenol, travel size
• ¨  Travel medical kit
• ¨  Dramamine, travel size
• ¨  Mosquito net
• ¨  Ink pens (3)
• ¨  Bible, pocket size
• ¨  Copy of passport
• ¨  Copy of driver’s license
• ¨  Copy of health insurance card
• ¨  Copy of vaccination card
• ¨  Malaria meds
• ¨  Travalon meds
• ¨  Antibiotic meds
• ¨  Personal medications (diabetes, high blood pressure, etc.)
• ¨  Bug bite cream, travel size
• ¨  Work gloves
• ¨  Latex gloves
• ¨  Boots
• ¨  Coconut flakes/powdered Gatorade
• ¨  Anointing oil
• ¨  Poncho (2)
• ¨  Mouthwash, travel size (2-3)
• ¨  Money (broken down into separate envelopes that correspond with the estimated budget)
• ¨  Bobby pins (if applicable)
• ¨  Credit card
• ¨  House key
• ¨  Car key
• ¨  Eye glasses case and repair kit (if applicable)
• ¨  Small battery operated fan
• ¨  Bug spray, travel size (3) (30% DEET or higher)
• ¨  Bathroom Lysol spray, travel size

A SCRIPTURAL FOUNDATION for MISSIONS

DEATH NOTIFICATION – FOREIGN MISSIONS

NAME: _________________________________________ PASSPORT# __________________________

In the event that my death should occur outside of the United States, any one of the following is to be instructed as indicated below:

_____ Family member

_____ Pastor of My Church

Representative of the US State Department/US Embassy:

• Immediately contact one of the following:

My family or other (Name) _____________________________________________________

(Phone number and/or E-mail) __________________________________________________

My Church Office/Pastor (Name) ________________________________________________

(Phone number and/or E-mail) __________________________________________________

A Consular Duty Officer at the local US Embassy ____________________________________

• My wishes are as follows:

____ I DO NOT wish to be cremated. My body is to be shipped to the US, in keeping with statutes of the nation where death occurred, to ___________________________ Funeral Home in ______________________________________________________.

____ All of my valuables and personal possessions are to be kept in control of CMEC or US Embassy Representative and shipped to: _____________________________________________________________________

• r brought back to the US and turned over to: Designated family member:_____________________________________________________________

• My body is to be CREMATED and remains shipped back to the US. Follow same process as outlined in #2 above.

Signature: _______________________________________ Date: _______________________

Estimated Travel Budget

(All Items are SUBJECT TO CHANGE)

Local Transportation in Haiti (per car, per day)                                                          $175*

Interpreter (per interpreter, per day)                                                                           $50**

Airfare to Haiti and Transportation from Home to Airport (per person)               $550***

Room/Board and Compound Support (per person, per day) – includes:               $50

• 3 meals a day
• Purified drinking water
• Wifi access

Portage and Gratuities, includes Skycap tips (per person)                                        $50

Suggested Church Offering for Worship on Sunday (per person)                            $10-15

Entrance/Exit Haiti Tax, paid at the airport (per person)                                            $10

Resort/Fun Day (per person)                                                                                           $50

Team T-Shirts (per shirt – see page 21 for colors)                                             Around $10-12

Luggage/Shots/Medicine/Permethrin/Misc. (per person)                                Around $250-500

Your own personal snacks                                                                                     Around $50

Mosquito Net                                                                                                           Around $40

Your own personal money                                                                                     Around $100

* Cost will be split between Team Members; will vary depending on how many days transportation is needed and # of team members.

** Cost will be split between Team Members; will vary depending on how many days an interpreter is needed, the # of interpreters needed and # of team members.

*** Cost will vary depending on place of departure, when airfare is purchased and other airline variances.

The final budget will be determined by the Team Leader and provided to Team Members once the trip length has been confirmed by GO-Haiti.

$500 minimum per team member via fundraising efforts

Short-Term Missionary Application (Haiti) SAMPLE

Phillips Temple Church (A CME Congregation

3620 Shiloh Springs Road

Trotwood, OH 45426)

Last Name:____________________________   First Name:____________________________

Address:________________________________________________________________________

City:______________________________ State:________________ Zip Code:______________

Phone:___________________________     Cell Phone:________________________________

Email: _________________________________________________________________________

PERSONAL DATA

Sex: Male Female                                Birth Date___________________ Age______

Marital Status: Married       Single       Divorced       Remarried       Widowed  

Are you allergic to any foods or substances? Yes     No   If yes, please name the allergens:

Do you have any limiting physical conditions which would hinder the safety or efficiency of yourself or the team? (i.e. serious allergies, weakened immune system, arthritis, back problems, limited mobility, poor eyesight, poor hearing, etc.) Yes     No   If yes, please explain.

Do you have a passport with at least six blank pages? Yes     No   If no, you will need to obtain a passport at least 30 days prior to the trip departure.

If you are a medical professional, please provide the following details about your medical training and experience:

Employer Name: ______________________________________________________________

Position Title: ________________________________________________________________

Please describe below your duties:

 ________________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Employer Address:    ____________________________________________________________

City: ___________________________________ State: ___________ Zip Code: _____________

Country: _______________________________________________

Employer Phone: ________________________________________

* Please include a copy of your medical license, credentials and/or resume along with this application.

CHRISTIAN BACKGROUND

Have you accepted Jesus Christ as your personal Lord and Savior, according to Romans 10: 9?     Yes       No If YES, for how many years ___________?

What is the name of your church? _______________________________________________

Church Address____________________________________________________________________

City ________________________________ State______________     Zip Code________________

Phone Number:________________________ Pastor’s Name:____________________________

How often do you attend?_________________________

In which area(s) of the ministry have you or do you participate in?____________

Have you held any leadership positions in the church? Yes No If YES, please explain

briefly:_______________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

In a few words, please describe your Christian experience, your interest in missions, and why you desire to serve in Haiti:

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________

What areas of work are you most interested in? ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_______________________________________________________

Do you feel comfortable evangelizing? Yes No

Teaching a Bible Study to team members? Yes No

Praying openly, corporately, or as part of evangelizing? Yes No

Reading Scripture aloud? Yes No

Do you speak any language other than English? Yes No

Other language(s) spoken:___________________________________________

Do you speak these languages: Very fluently Fluently Speak somewhat Very little

REFERENCES

Please provide two references.

Reference #1

Full Name: __________________________________________________________________

Relationship to you: ____________________________________________________________

Phone Number: _________________________________

Reference #2

Full Name: __________________________________________________________________

Relationship to you: ____________________________________________________________

Phone Number: _________________________________

RECOMMENDATIONS

Please include two letters of recommendation (one preferably from your church pastor or a board member of GO-Haiti) along with this application.

DISCLOSURE

Please answer the following statements:

Have you ever been convicted of any crime relating in any manner to children and/or your conduct with them? Yes No 

Have you ever been adjudged liable for civil penalties or damages involving sexual or physical abuse of children? Yes No 

ANYONE who haS been convicted of ANY CRIME RELATING IN ANY MANNER TO CHILDREN AND/OR YOUR CONDUCT WITH THEM OR HAS BEEN ADJUDGED LIABLE FOR CIVIL PENALTIES OR DAMAGES INVOLVING either physical or sexual abuse OF CHILDREN will not be accepted as volunteers or team members within the Missions Ministry.

Please sign your initials by each statement:

_____ I will attend all of the required training sessions and team building events.

_____ I will respect the team leadership and submit to their instructions.

_____ I will not use obscenity, foul language or gestures during the mission trip or event.

_____ I will not use alcoholic beverages, tobacco products, or illegal drugs during the mission trip, activity or event, including travel to and from the mission’s location.

_____ I will not be present in a room alone with a person of the opposite sex, other than my

spouse, during the mission trip, activity or event.

_____ I will not have romantic or inappropriate contact with any person while on the mission trip.

_____ I will not complain about material discomfort or living conditions while on the mission trip.

_____ I will be conscientious and respectful toward the hosts and host country.

_____ If I have any interpersonal conflict I will go privately to the person and resolve this  

conflict.

_____ If I cannot resolve the issue I will go to the team leader who will mediate.

_____ If I am asked to return early from a mission trip, activity or event by church leadership I will do so at my own expense.

I understand that if I am able to participate in this trip, I will be required to attend any and all functions pertaining to the mission trip. I also understand that if I am absent from any activities relevant to the mission trip and have not been excused by the leaders, I may be asked to forfeit my ability to participate. The information that I have provided is factual and I agree to complete Mission Training for workers and abide by the principles stated therein.

Print Name: _________________________________________________________________

Signature: __________________________________________________________________

Date: _____________________________________

Liability Release Agreement

The undersigned wishes to participate in a short-term mission trip (herein the "Ministry") with Missions Beyond USA, sponsored by the Christian Methodist Episcopal Church (hereafter, CMEC MBUSA), a non-profit religious corporation.

The CMEC MBUSA and the undersigned agree that there are risks involved in participating in the Ministry including the following specific risks: sickness, crime, political instability, religious opposition to mission activities, as well as similar and dissimilar risks (herein the "Risks").

The undersigned, himself/herself and his/her personal representatives, assigns, heirs, distributes, guardians and next of kin (herein the "Releasors"), hereby irrevocably and unconditionally releases, waives, discharges and covenants not to sue CMEC MBUSA and its affiliates, subsidiaries, divisions, members, directors, officers, employees and agents (herein "Releasees"), for and from all claims of any nature now or hereafter existing whether known or unknown, including but not limited to, all liability to the Releasors, on account of injury to the undersigned or death to the undersigned or injury to the property of the undersigned, whether caused by the negligence of Releasees or otherwise, while the undersigned is participating in the Ministry.

The undersigned is fully aware of the risks and other hazards inherent in participating in MBUSA and voluntarily assumes the risks, and all other risks of loss, damage, or injury that may be sustained by the undersigned while participating in MBUSA.

The undersigned also agrees that he/she bears the sole responsibility for any and all medical expenses which he/she incurs while participating in the Ministry, whether for injury or illness, and whether required as a result of the undersigned's participation in the Ministry or not.

The undersigned further agrees that he /she bears the sole responsibility for any and all travel expenses which he/she incurs in the event that his/her team leader or other trip leadership finds it necessary to send the participant home prior to the scheduled departure date, whether for health or physical limitations or inappropriate or immoral behavior, and whether required during the undersigned's participation in the Ministry or not. The undersigned acknowledges Releasees are under no obligation to, and do not cover travel expenses for the undersigned.

Lastly, the undersigned agrees that he/she bears the sole responsibility for any and all room change expenses which he/she incurs while participating in the Ministry, whether for sleep disruptions not previously stated on the application materials, and whether required during the undersigned's participation in the Ministry or not. The undersigned acknowledges Releasees are under no obligation to. and do not cover room change expenses for the undersigned.

The undersigned warrants that he or she has fully read and understands this Liability Release Agreement and voluntarily signs the same, and that no oral representations, statements or inducements apart from the foregoing written agreement have been made to the undersigned.

TRIP NAME: _____________________________________________   TRIP DATES: ______________________

CAUTION: READ BEFORE SIGNING

APPLICANT:                                                                 _______________                    ____________________________________________

                                                     (Printed Name)                                                                             (Signature & Date)
WITNESS:                                                                      _                        _                                                        _______________

                                                     (Printed Name)                                                                             (Signature & Date)

Please send your completed application to the address below before you travel.     

Team Leaders Name and Address:  __________________________________________________________

Mission Trip Supplies Listing – Collected by Donation

(SUBJECT TO CHANGE FROM YEAR TO YEAR)