Shades Mountain Baptist Church
University Ministry
Mission Project Application

Full name as it appears on your passport or driver’s license:

Last / First / Middle
Preferred name / Birthday / T-shirt Size
Project location / Project dates (month and year)
Contact Information
Email / Cell phone / Local phone
Campus/Local address
City / State / Zip Code
Home address
City / State / Zip Code
Campus & Church
College/University you attend
Class / GPA / Major
Tentative vocational choice
Church you attend (if other than Shades)
Travel Requirements
Passport number (international projects only) / Passport expiration date
Emergency contact name / Relationship
Emergency contact phone / Email
Health insurance provider (a copy of your insurance card will be required before departure)
Health insurance provider address
City / State / Zip Code
Travel insurance beneficiary / Relationship
Missions Experience & Expectations
What motivated you to apply for this mission project?
Have you previously participated in a mission trip either international or here in the United States?
If so, where and when?
Do you have any particular skills that might be useful on this trip (foreign language, athletic, musical/artistic, etc.)?
Do you have any specific health issues that would affect your performance on a mission project?
Are you taking any medications?
Salvation & Personal Spiritual Growth
Briefly describe how you first came into a relationship with Christ.
Briefly describe your current relationship with Christ and areas of growth or struggle that you are experiencing.
Are you regularly involved in sharing the Gospel?
Are you comfortable articulating the message of the Gospel?
Describe your current involvement in the local church.
Team Contribution
Describe your strengths and weaknesses in working on a team.
What do you hope to contribute through your involvement on this team? What do you hope to gain through your involvement on this team?
Applicant Signature / Date
Mission Team Covenant

As a member of a Shades Mountain Baptist Church University Ministry mission team, I affirm that Jesus Christ is my personal Lord and Savior. I also affirm the following statement of belief as found in the Apostle’s Creed:

I believe in God, the Father Almighty,the Creator of heaven and earth, and in Jesus Christ, His only Son, our Lord. Who was conceived of the Holy Spirit,born of the Virgin Mary, suffered under Pontius Pilate, was crucified, died, and was buried. The third day He arose again from the dead. He ascended into heaven and sits at the right hand of God the Father Almighty, whence He shall come to judge the living and the dead. I believe in the Holy Spirit, the holy catholic church, the communion of saints, the forgiveness of sins, the resurrection of the body, and life everlasting, Amen.

Knowing that as a mission team member I am a representative of Shades Mountain Baptist Church, and Jesus Christ, I commit to the following tenants of this covenant for the duration of my service.

  1. I will support the mission team with my regular prayers, as well as my presence and participation in all team-related functions.
  2. I will support my fellow team members and hold them accountable to their team responsibilities and to this covenant.
  3. I will be committed to meditation and the study of the Bible in an effort to order my life after the example of Christ and to prepare myself for the mission experience.
  4. I will regularly attend a local church for continued spiritual development and service.
  5. I will strive to live a life above reproach to protect my integrity and the integrity of others by abstaining from sexual immorality, drunkenness, destructive language and other vices as admonished in the teaching of Christ.
  6. I commit to abstaining from seeking any romantic relationship with another team member for the duration of our preparation and service.
  7. I commit to pay in full the balance of my mission trip expenses before the team departs.
  8. I will submit to the leadership of the team leader and will demonstrate respect and kindness to all team members.

By signing this covenant, I agree to adhere to its tenants. If there is a breech of this covenant at any time, I will willingly submit myself to the authority of the team and the University Ministry staff to determine the repercussions of my actions.

Team Member Signature / Date
SMBC Missions Project Volunteer Release and Covenant Not to Sue

WHEREAS, the undersigned will be traveling and participating in various mission projects which are sponsored in whole or in part by SHADES MOUNTAIN BAPTIST CHURCH; and

WHEREAS, the undersigned desires to release and hold harmless SHADES MOUNTAIN BAPTIST CHURCH, its directors, officers, administrators, employees, members, team leaders, or team coordinators, and/or team members from any and all liability, claims, demands, or action which may occur as a result of any injury, whether accidental or otherwise, illness or other loss which the undersigned may sustain as a result, directly or indirectly, while participating in any of said mission projects and/or activities, or while traveling to, from, and during said mission project by any mode of transportation;

NOW, THEREFORE, in consideration of the participation by the undersigned in said mission projects and the benefits flowing from SHADES MOUNTAIN BAPTIST CHURCH as sponsor and coordinator, and other good and valuable considerations, the undersigned does hereby release, discharge, and save harmless SHADES MOUNTAIN BAPTIST CHURCH, and their directors, officers, members, administrators, employees, members, team leaders or team coordinators and/or team members from any and all liability, claims, demands, or actions which may occur as a result of any injury, whether accidental or otherwise, illness or other loss which the undersigned may sustain as a result, directly or indirectly, while participating in any of said mission projects and activities, or participating in any and all types of activities, while in any country, or while traveling to and from said countries, to and from mission project sites, or any other traveling by the undersigned from departure from any airport in the United States until the time of return to any airport in the United States by any mode of transportation.

The undersigned further agrees that he/she will not institute any action or suit at law, or in equity, against SHADES MOUNTAIN BAPTIST CHURCH, their directors, officers, members, administrators, employees, team leaders or team coordinators and/or any team members at any time, and will not institute, prosecute, or in any way aid in the damages, cost, loss of services, expenses, or compensation for or on account of any alleged damage, loss, injury, health problem, disease or illness to any person or property, or both, whether developed or undeveloped, resulting from or to result from known, unknown, past, present, or future by the undersigned’s participation in mission projects sponsored by the SHADES MOUNTAIN BAPTIST CHURCH.

The undersigned further acknowledges that he/she has been fully advised of the hazards, conditions, and environment existing in said countries in which the mission projects will be conducted and of various health and safe hazards which exist, and he/she fully understands and assumes all risks involved in participation on said mission projects.

This release shall be binding on all the heirs at law, beneficiaries, or any party in interest of the undersigned and shall insure the benefit of any successor officers, directors, administrators, members, employees, team leaders or team coordinators, and/or team members of SHADES MOUNTAIN BAPTIST CHURCH.

By signing this document I acknowledge that my photograph and/or statements may be used in any fashion, by Shades Mountain Baptist Church, in its sole discretion, including but not limited to, publications, videos and websites.

Signature / Date
SMBC Missions Project Volunteer Permission to Be Treated

I hereby give my consent and permission to conduct any necessary medical examinations and medical treatment while on the Mission Project. I further give permission to obtain any and all diagnostic and treatment records necessary for my medical treatment.

I UNDERSTAND THAT I AM SIGNING TO INDICATE THAT I HAVE READ AND CONCUR WITH ALL PORTIONS OF THIS FORM, INCLUDING THE MEDICAL INFORMATION, RELEASE, & PERMISSION TO BE TREATED SECTIONS AND ALSO HEREBY CERTIFY THAT ALL THE INFORMATION THAT I HAVE PROVIDED IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.

Signature of volunteer / Date
Printed name of volunteer / Date
Signature of witness #1 / Date
Signature of witness #2 / Date
Application Submission

Completed applications must be submitted with a non-refundable project deposit:

  • The non-refundable deposit for international projects is $200.
  • The non-refundable deposit for domestic projects is $150.
  • Deposits can be made by either cash or check.
  • Checks should be made payable to Shades Mountain Baptist Church.

Completed applications can be submitted at the Shades Mountain Baptist Church Student Building between 8:00am and 5:00pm, Monday thru Thursday. Applications can be submitted to the main church offices on Friday. Applications can also be submitted to any University Ministry staff member during a regular ministry event.

Completed applications can be submitted by mail to the following address:

Shades Mountain Baptist Church

University Ministry

2017 Columbiana Road

Birmingham, AL 35216

An electronic copy of a completed application is sufficient for initial submission, but original signatures must be filled in before team departure.

Completed applications can be emailed to .

Questions should be directed to the University Ministry office by email at or by phone at (205) 823-7654.

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