app – Men for Missions Canada

MFM Teams Application (Minor - 17 & Under)

This application should only be filled out by the parent or guardian of the minor wishing to participate on the short-term team. If you are wanting to fill out an adult application, click here.

Personal Information - Step 1 of 8

Today's Date: *

Full Name (as shown on passport): *

Nickname:

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Primary Phone *

Email *

Date of Birth: *

Gender: *

Male
Female

Occupation

Passport Number (If you do not have this information, indicate by writing N/A): *

Passport Expiration Date (If you do not have this information, indicate by writing N/A): *

Nationality: *

Please attach a copy of the picture page of your passport:

Click or drag a file to this area to upload.

Do not just attach the picture from your passport. We need the entire page that contains all of your information.

Airport you wish to depart from: *

Have you ever been convicted of a felony? *

If YES, please explain:

Spouse Name (if married):

First

Last

Name of Emergency Contact *

First

Last

Relationship to Emergency Contact *

Emergency Contact Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact Primary Phone *

Name of your home church (If you do not have this information, indicate by writing N/A): *

Church Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How long have you attended this church? (If you do not have this information, indicate by writing N/A): *

Pastor's Name (If you do not have this information, indicate by writing N/A): *

Have you accepted Jesus Christ as your Savior? *

If so, when? *

Applicant's Name *

First

Last

YOUR RESPONSIBILITY - If accepted to participate in Men For Missions you will not only be representing your country overseas, but also your Lord Jesus Christ, your local church, those who have made the mission experience possible, One Mission Society, and the general Christian population of your home country. You will be allowed into your host country by invitation of that government, the national church, and the missionary body. How you act and react to different cultural situations and other team members will cause people in your host country to form opinions about you, Christian values, and your home country. By accepting the challenge of participating in Men for Missions you are expressing your willingness to honor the authority of OMS leaders and the wishes of the national church to exemplify a cooperative spirit of love and unity. Your signature indicates a clear understanding and consent to the above standard of conduct. *

By checking this box and typing my name below, I am electronically signing this application.

FINANCES - Men for Missions will make all international travel arrangements as well as domestic lodging reservations necessary at the port of departure, and will provide all needed information regarding passports, visas, inoculations, baggage requirements, and finances. Funds received by One Mission Society for the purposes of Men for Missions may or may not be a charitable contribution, depending on the nature and purpose of the trip. However, OMS will provide an appropriate acknowledgment that funds have been received. Each ministry team participant is responsible for contacting individuals to provide his own financial support, including international and domestic travel, in-country living expenses, insurance, orientation, and departure costs. All funds must be submitted to OMS a minimum of 21 days prior to departure. OMS will provide a tax-deductible receipt to donors for those Men for Missions participants whose overseas experience qualify for tax deductions. All funds become the property of One Mission Society according to the regulations governing tax-receipted funds of Canadian Charitable organizations. *

By checking this box and typing my name below, I am electronically signing this application.

PARENT/GUARDIAN CONSENT AND RELEASE AGREEMENT - I hereby give my consent for my son/daughter to travel to one or more of the fields of One Mission Society, on a Men for Missions mission assignment. I do so with full awareness that foreign travel by its very nature offers an unfamiliar and unique environment in which risks of injury to both persons and property are inherent. I am aware that travel medical insurance coverage is provided as part of the Men for Missions team program. In case of a medical emergency, I understand that every effort will be made to contact parents or legal guardians of participants in the program. In the event that I cannot be reached, I consent to and authorize One Mission Society to obtain and secure reasonably necessary medical or surgical treatment for my child. In consideration of my child being accepted for participation in the program, I hereby voluntarily release and agree to hold harmless and indemnify One Mission Society and each of its employees, directors, officers, and agents from and against any and all liability, claims, demands, actions, damages, expenses, and costs, including attorney's fees, loss and judgments of whatsoever kind and nature which may result from or arise out of the participation by my child, whether or not resulting in whole or in part from the negligence, acts, or omissions of my child, or from the acts or omissions of One Mission Society or its employees, directors, officers, and agents, excepting only such injury or damage resulting from the willful or negligent acts of such employees, directors, officers, or agents. I am aware that basic accident and sickness insurance coverage is provided as part of the program but that this insurance may not cover all situations. Furthermore, I understand that there is no personal property insurance provided through the program and that such insurance is considered a personal responsibility of each parent or legal guardian of a child participating in the program. *

By checking this box and typing my name below, I am electronically signing this application.

I am aware that our travel insurance policy (Battleface Travel Insurance) does not provide coverage for pre-existing medical conditions, including colds, flu, or other illnesses. Any illness, injury, or medical condition that exists or manifests itself prior to the effective date of your insurance policy will not be covered under the terms of the policy. It is essential to disclose all relevant medical information accurately during the application process to ensure transparency and avoid any potential issues with claims later on. While we understand that illnesses such as colds or flu can occur unexpectedly, it is essential to recognize that they are considered pre-existing if symptoms were present prior to the commencement of the trip and insurance coverage. Therefore, any and all financial costs for any medical interventions required during your trip due to the worsening of these conditions will be the responsibility of the traveler. However, under our policy, travelers who fall ill before the start of their trip can utilize our trip cancellation coverage to claim reimbursement for any non-refundable trip costs. We encourage travelers to carefully review their insurance policy documents for specific details on coverage limitations and exclusions. *

By checking this box and typing my name below, I am electronically signing this application.

Parent/Guardian Name *

Date of Signature *

MFM Teams Application (Minor - 17 & Under)

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