VPC Hands of Mercy 2019 ~ May 24-26th
Please fill out the form completely and return it no later than February 24. Once received, we will contact you with additional trip details
PERSONAL INFORMATION
First Name *
Your answer
Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Address *
Your answer
Email *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
T Shirt Size *
Are you able to drive to Mexico? *
If yes, how many total persons including yourself can you carry?
Your answer
Have you ever been arrested or convicted of a misdemeanor or felony? *
If yes, please explain
Your answer
MEDICAL/EMERGENCY Information
List any medications or medical issues that your team leader should be aware of *
Your answer
Are you currently under the care of a physician? *
If yes, please explain
Your answer
List any known allergies *
Your answer
CHURCH ATTENDANCE
How long have you been attending VantagePoint? *
Your answer
Have you been baptized? *
Are you in a small group? *
Which VantagePoint Staff member knows you best? *
Your answer
Have you been on a missions trip before? *
Why are you interested in going to Mexico? *
Your answer
Are you conversationally fluent in Spanish? *
Please list some of your strengths and skills *
Your answer
Emergency Contact
In case of an emergency, please notify:
Emergency Contact Full Name *
Your answer
Relationship to you *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
VPC Trip Requirements
By checking the boxes below, you will be agreeing to the the VPC trip requirements for all participants.
I will attend the pre-build on Saturday, May 18th *
If you will be traveling with other members of your family that have also applied for the Hands of Mercy trip, please list their full names below *
Your answer
I have read and understand VPC's Trip Requirements, and I commit myself to meeting those requirements should I be accepted to serve with Hands of Mercy. *
If you are selected to serve on this team, a 10% trip deposit will be due within 1 week of your notification/placement
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service