KENYA

SOHI 2018

VISION TRIPS

SPRING OF HOPE INTERNATIONAL

VISION TRIP APPLICATION_

Today’s Date___/___/___Month/Year of Trip___/___

Please return packet to:

723 W. Indiana, Spokane WA 99205

ATTN: KENYA TRIP

(509) 327-0134

PERSONAL INFORMATION______

Legal Name______Gender: M F

Current Address ______

City ______State ______Zip ______

Home Phone (___) ______Cell Phone (___) ______

E-Mail address ______

Birth date (MM/DD/YYYY) ____/____/______Marital Status: Married ___ Single ____

What is your present occupation? ______

Current employer ______

Do you have a current passport? Yes No

Please supply a photocopy of your passport with application.

Please list any foreign travel experience:

Country ______Year ______Length of Stay ______

Country ______Year ______Length of Stay ______

Country ______Year ______Length of Stay ______

Country ______Year ______Length of Stay ______

Please list any foreign languages you have studied and how well you can converse:

Language Number of Years Conversation Level

(Fluent, passable, poor)

PERSONAL PROFILE______

QUESTIONS: Attach additional sheet/s as needed.

  1. Please share your life story and how your story has shaped who you are today.
  1. What do you think your gifts are? And how are you currently using your gifts?
  1. Do you feel called by God to go on this trip? What does being called by God mean to you?
  1. Please list three expectations you have for this trip.
  1. How do you intend to meet your expectations?
  1. What concerns and/ or fears do you have about this experience? Please explain:
  1. In detail, please describe why you are interested in this vision trip, including your skills and abilities that could contribute to the trip.
  1. Briefly describe your previous (if any) mission experiences.
  1. Do you have health issues/medical restrictions that the team should know about?
  1. What accommodations, if any, would you need to overcome any health concerns/medical restrictions you have listed?
  1. Serving in a foreign environment requires personal sacrifice. Are you willing to forego personal preferences and comforts for the sake of the team? (Examples include living conditions, food preferences, daily schedules, use of tobacco and alcohol, etc.) Please comment.
  1. Are you willing to submit yourself to the team leadership, discipleship process and all scheduled team meetings? Please comment.
  1. If married, how does your spouse feel about your participation in this vision trip?

Please list two people who will complete the attached reference forms for you.

Name Relationship Length of Acquaintance

1.

2.

______

I understand that this information will only be made available to responsible and appropriate staff and trip leaders at Spring of Hope International.

Signature______Date ____/____/______
Spring of Hope International

TRIP PERSONAL REFERENCE______

This confidential reference form is submitted on the behalf of the named applicant who is applying to participate in a vision trip to Kenya. Please answer honestly and openly. Your cooperation in carefully completing this reference form is greatly appreciated.

Date __/___/______Applicant ______

How long have you know the applicant? ______

In what capacity ______

To your knowledge, does the applicant have a consistent spiritual life?

Please elaborate.

To your knowledge, does the applicant have any physical, mental or emotional difficulties that would hinder his/her participation in this vision trip?

Please explain.

Please list the talents and abilities that you have observed in the applicant:

Please return to Spring of Hope International at the following address by:

Spring of Hope International

723 W. Indiana, Spokane WA 99205

ATTN: KENYA TRIP

Please evaluate the applicant on a scale of 1 - 10 on the following qualities.

(1 = needs much improvement, 6 = average, 10 = excellent)

___ Conduct with opposite sex___ Communication skills

___ Honest and trustworthy___ Diligence with assignments/tasks

___ Works well as team member___ Common sense and judgment

___ Controls his/her emotions ___ Ability to lead others

___ Willingness to submit to leadership___ follows through with responsibility

___ Flexible in changing situations___ Sensitive to others’ needs

___ General health___ Follows instructions

___ Able to handle unforeseen and sometimes difficult living conditions

___ Good attitude when the going gets rough

___ Good addition to an international ministry effort

I would recommend the applicant for participation in this trip:

___ Highly and without reservation ___ With reservation(s)

___ Cannot recommend at this time

Please comment.

Additional comments that you consider pertinent to the applicant's participation:

Signature ______Date ___/___/_____

Name (please print) ______

Address ______City ______ST ____ Zip _____

Phone (___) ______

Spring of Hope International

TRIP PERSONAL REFERENCE______

This confidential reference form is submitted on the behalf of the named applicant who is applying to participate in a vision trip to Kenya. Please answer honestly and openly. Your cooperation in carefully completing this reference form is greatly appreciated.

Date __/___/______Applicant ______

How long have you know the applicant? ______

In what capacity have you known the applicant? ______

To your knowledge, does the applicant have a consistent spiritual life?

Please elaborate.

To your knowledge, does the applicant have any physical, mental or emotional difficulties that would hinder his/her participation in this vision trip?

Please explain.

Please list the talents and abilities that you have observed in the applicant:

Please return to Spring of Hope International at the following address by:

Spring of Hope International

723 W. Indiana, Spokane WA 99205

ATTN: KENYA TRIP

Please evaluate the applicant on a scale of 1 - 10 on the following qualities.

(1 = needs much improvement, 6 = average, 10 = excellent)

___ Conduct with opposite sex___ Communication skills

___ Honest and trustworthy___ Diligence with assignments/tasks

___ Works well as team member___ Common sense and judgment

___ Controls his/her emotions ___ Ability to lead others

___ Willingness to submit to leadership___ follows through with responsibility

___ Flexible in changing situations___ Sensitive to others’ needs

___ General health___ Follows instructions

___ Able to handle unforeseen and sometimes difficult living conditions

___ Good attitude when the going gets rough

___ Good addition to an international ministry effort

I would recommend the applicant for participation in this vision trip:

___ Highly and without reservation ___ With reservation(s)

___ Cannot recommend at this time

Please comment.

Additional comments that you consider pertinent to the applicant's participation:

Signature ______Date ___/___/_____

Name (please print) ______

Address ______City ______ST ____ Zip _____

Phone (___) ______

SPRING OF HOPE INTERNATIONAL

VISION TRIP WAIVER & RELEASE OF LIABILITY

Short-Term Mission Trip Participant

Personal Covenant and Full and Complete Liability Release

Dates of short-term mission trip:

Countries to be visited:

I………………………………., have freely requested to be allowed to participate on a short-term mission trip. In the event I am accepted as a member of the short-term mission team, and in consideration of the privilege of participation on the team, and of proclaiming the Gospel of Jesus Christ, I hereby fully agree to and accept the following:

1. I do hereby for myself, my heirs, my estate, executors, administrators, and assigns, fully and forever release and acquit and forever discharge Spring of Hope International (SOHI), its agents, directors, officers, volunteers, contractor, successors, heirs, executors, administrators, employees, and any and all other persons connected in any way therewith, of and from any and all claim, actions, causes of action, demands, rights, damages, costs, loss of services, expenses, and compensation whatsoever which I now have or may have in the future, no matter when same arises or which hereafter accrue, on account of, or in any way growing out of, any and all, known and unknown, foreseen or unforeseen damages and the consequences thereof, arising out of any claim which I may have as a result of my participation on the short-term mission trip(s).

2. There are risks associated with travel in a Lesser Developed Country (LDC). I acknowledge that by participating as a team member of the SOHI short-term mission team, I am subjecting myself to certain risks voluntarily, and do accept and assume these risks including and in addition to those risks that I normally face in my personal and business life, including, but not limited to, such things as unstable political situations, different and primitive physical and health facilities, uncertain transportation and communication facilities, possibly acts of terrorism, health hazards due to contaminated food and water, diseases, pests, poor sanitation, potential lack of control over local population, potential personal injury while working or traveling and inadequate medical facilities.

3. I go as a servant-disciple of Jesus Christ and will adopt that attitude when interacting with my fellow team members, the people I meet during the trip and our host missionaries. I will abstain from making derogatory comments or arguments regarding people, politics, sports, religion, race or traditions. I further promise to not be overly demanding and to do my best not to offend or cause embarrassment for the local mission host, and to do my best to help them attain their long-term goals.

4. I will accept and submit to the leadership role and authority of the team leader and promise to abide by his or her decisions as they concern this mission trip. I will also refrain from giving gifts, except those gifts pre-approved by the team leader prior to departure. If I feel compelled to give any other gift, I will first consult with the team leader and will abide by his or her decision.

5. I fully understand that travel, especially to remote locations, can be difficult, and I promise to adopt a flexible attitude and be supportive, as plans may need to be changed. I understand, also, that I must travel with the rest of the team, unless other prior arrangements have been made.

6. I will act as a servant-disciple of the local pastor, missionary and/or mission organization. I will respect and follow the advice given concerning attire, eating and drinking, and other traditions that will help me to assimilate into the local community.

7. I will attend all team meetings possible, both prior to departure and during the mission trip. Also, I will expeditiously follow up on all requirements for passports, visas, financial obligations, vaccinations, travel insurance, etc.

8. I further agree that in the event my conduct is considered by the team leader to be so unsatisfactory that it jeopardizes the success of the mission trip, and that mediation during the trip has failed to correct my behavior, that my services in connection with this mission trip shall end, and I shall return home immediately at my own expense. The team leader’s decision to terminate me as a team member will be final.

9. I understand that SOHI trips are both non-alcohol and unplugged trips and will comply with doing so.

10. I will not have in my possession or be under the influence of illegal or mood altering drugs or alcohol. I understand that doing so will be ground for being sent home immediately.

11. By signing below I agree and accept all of all of the above and in so doing I represent that I am at least eighteen (18) years of age.

THE UNDERSIGNED HAS READ THE FOREGOING WAIVER AND RELEASE AND FULLY UNDERSTANDS IT.

Signed, sealed and delivered this ______day of ______, 20 _____.

Name: ______Signed: ______

Spring of Hope Vision Trip MemberSpring of Hope Vision Trip Member

(Please Print) (Legal Guardian if under I8)

SPRING OF HOPE INTERNATIONAL

723 W. Indiana

Spokane WA 99205

ATTN: KENYA TRIP

VISION TRIP HEALTH FORM______

Name ______Date ____/____/______

Birth date (MM/DD/YYYY) ____/____/______Gender: M F Blood Type: ______

In case of emergency, contact:

Name______Cell Phone (____) ______

Relationship to you: ______

Do you have personal medical insurance that will provide coverage in the event of an accident or illness outside the U.S.? Yes No Evacuation coverage? Yes No

Name of Insurance Carrier ______

Phone (___) ______Policy/Medical Record Number ______

In case of an emergency during the trip, what doctor (knowledgeable about your health) should be contacted?

Doctor’s Name ______

Address______Phone ( ___ ) ______

When did you last have a complete physical exam? ______

How do you appraise your present health? Excellent Good Below par

Have you ever been treated for any major physical ailments? If so please specify what and when:

Do you have any chronic or recurring health problem(s)? If so, please specify:

Do you have a condition that requires a special diet? Please explain:

Do you have any of the following?

___ Allergies___ Asthma___ Diabetes

___ Stomach Upsets___ Heart Condition___ Frequent Colds

___ Medication Reaction/Allergy (please specify) ______

______

Are you currently undergoing medical treatment or taking prescription medication? Please specify type and use:

Will you be taking this medicine on your trip? Yes No

Have you suffered from or received treatment for emotional or mental illness? Y N

If so, please explain:

In case of an emergency, I hereby authorize any necessary medical treatment by

Proper medical personnel in the country that I am visiting

Signature ______Date ___/___/_____

Parent/Guardian Signature ______Date ___/___/_____

IF UNDER 18, SIGNATURE OF PARENT OR GUARDIAN IS REQUIRED

I understand that this information will only be made available to responsible and appropriate staff and ministry leaders at Spring of Hope International.

Signature______Date ___/___/______

SPRING OF HOPE INTERNATIONAL

723 W. Indiana

Spokane WA 99205

KENYA TEAM 2018

June 13th-28th2018 Trip

GENERAL VIEW OF TRIP PLAN

*Dates and travel plans are subject to change.

MEETINGS

  • Calendar: one meeting per month
  • December 4th……………Application Deadline.
  • January 7rd……………Training Session #1 Room 206 – 12:30-2:30
  • February 11th…………… Training Session #2 Room 206 – 12:30-2:30
  • March 11th……………Training Session #3 Room 206 – 12:30-2:30
  • April 15th ……………Training Session #4 Room 206 – 12:30-2:30
  • May 20th……………Training Session #5 Room 206 – 12:30-2:30
  • June 13th……………Departure

***Dates for Fall Trip are September 18th-October 3rd. Training Sessions TBD***

General Instructions:

  • Send David a photocopy of your passport.
  • Passport must not expire within 6 months of trip (renew now if it does)
  • Bring in or send David 4 passport size photos.
  • Immunizations required:
  • Immunizations: (Call your health care provider)
  • Yellow fever
  • Meningitis
  • Diphtheria
  • Typhoid
  • Tetanus
  • Polio
  • Hepatitis A&B
  • Malaria Pills (doxycycline or Malarone)
  • Cipro (Rx from regular doctor. Cannot get at County Health)
  • Personal meds: all Rx in original bottles
  • Must have the yellow International Certification of Immunization card
  • Cost of trip/Schedule of payment
  • $200 due by December 4th, 2017
  • $1800 due by (03/01/2018) for airfare
  • Remainder $2200 due by 06/01/2018
  • Visas: we take care of visa (prior to leaving)
  • Insurance: Trip insurance will be available to each (additional cost)
  • The total trip: $4,200 covers
  • Visa Fee
  • Airfare
  • Food & accommodations & bottled water
  • Local Transportation in Kenya
  • Safari -1 night 2 days safari in Serengeti.