ACF Missions 2022 Summer Missions Trip Application Form
Please fill out this online application form and click the submit button. You need to write a non-refundable check for the $100.00 application fee to ACF Missions, Inc., and mail it to the office address at 6706 Annapolis Road, Hyattsville, MD 20784 or make the payment on ACF Missions' Inc. website using the "Donate" button. The deadline for the 2022 Missions' trip application is March 31, 2022.

Mission Trip Dates

Benin Republic: Thursday, July 14 to Friday, July 22, 2022
Uganda: Thursday, July 21 to Thursday, August 4, 2022
Email *
Untitled Title
First Name *
Last Name *
Home Phone Number *
Mobile Number *
Preferred Email Address: *
Passport Number: *
Date of Birth: *
Issue Date: *
Nationality: *
Expiration Date: *
Residential Address *
City: *
State: *
Zip Code: *
Gender: *
If married, name of spouse: *
Emergency Contact: *
Relationship to you *
Emergency Contact Address *
Emergency Contact's Phone Number: *
Emergency Contact's Mobile Number *
Alternate Emergency Contact: *
Relationship to yo *
Address: *
Alternate Emergency Contact Number: *
Alternate Emergency Mobile Number: *
Do you have any medical concerns that we should be aware of? If yes please explain. *
Do you have any allergies we should be aware of? If yes please explain. *
Do you have medical Insurance? *
Do you have travel insurance? *
Name of health insurance company: for example, BCBS *
Health insurance phone number: *
Name of Primary Physician: *
Primary physician's phone number: *
Medical Release:  In the case of an emergency, I hereby authorize ACF Missions, Inc. to obtain and provide such  medical advice and services as deemed necessary by the Team Leader. I agree to the performance of such   treatment, including anesthesia and surgery, as determined by the attending physician or health care  professional. I accept responsibility for all medical costs that may exceed the coverage provided by my   health care plan. *
Signature:
Have you ever been on a short-term mission trip before? : *
If yes, please explain what, where, when and with what organization.
If you have been on a previous mission trip, what was your most significant contribution? *
What are your personal strengths? *
What church are you affiliated with? *
What ministries are you currently involved in at your church? *
Do you belong to a local chapter of African Christian Fellowship (ACF)? *
What is your involvement in your local ACF Chapter? *
Please indicate any ministry gifts, talents, interests, skills, or specific experiences that you feel may be helpful to the team during this mission trip.: *
What is your primary inspiration for applying for this year’s mission trip? *
Please state three particular activities you are most interested in participating in? *
What countries would you prefer to be assigned to? *
[Please note that we will try to accommodate your country and activity preferences as far as possible but  the final decision will be based on what’s best for the team as a whole.]
How well do you deal with uncertainty and change?
[5 being very comfortable with change]
most comfortable
Clear selection
How would you rate yourself in flexibility and adaptability?
 [5 being very flexible]
Clear selection
Are you willing to forego personal preferences to honor your team members and those you will be ministering to? *
Please explain briefly what you expect to see the Lord do in and through you during this mission trip? *
How do you plan to apply the experience and lessons from this mission trip? *
Please provide two references that we can contact to learn more about you: *
Which is your home ACF Chapter/group? *
*
*
Release of Liability and Specific Limitations:  I understand that there are certain risks inherent in overseas travel and my participation in this short- term mission trip to Africa, including but not limited to weather conditions, illness, accident or injury;   and the potential lack of accessible, desirable or effective medical care. Team members, leaders and   other volunteers serve at their own risk. I hereby release ACF Missions, Inc., its leadership and   volunteers from any and all liabilities arising out of any injury, damage or loss which may be sustained   by me during the course of my involvement in the mission trip including preparation thereof. I am   aware that ACF Missions, Inc. will do whatever is within its organizational limit to ensure the safety   of all team members. The mission trip experience could entail intense physical activities including   continuous walking that require good physical condition. I understand that activities during the mission   trip are often done in groups, and that all team members are expected to participate fully as directed by   the Team Leader.  As a Christian organization, ACF Missions expects team members to honor the Lord by a Christian   lifestyle that is consistent with the Bible. As we seek to serve the Lord by serving those He has sent us to,   we endeavor to model Christ before them. Therefore all team members are required to avoid any  inappropriate relationship with persons of the opposite gender or any appearance of this. Team members   are expected to adhere to all instructions given by the Team Leader and follow guidance in the interest of   team cohesion. Continuous disruptive behaviors, which affect the experience or compromise the safety of   other team members, may result in such team member being advised to return home at their own expense.   ACF Missions, Inc. or its volunteers and leadership will not be responsible for the lost or damage to any  personal property of team members. Any valuable items should be left at home.  I understand that travel dates, schedules and country of ministry are subject to change. In the event that  a trip is cancelled, for any reason, ACF Missions, Inc will assign team members to another trip. Every   team member is expected to raise a total of $3,000.00 for the missions’ trip, to cover the cost of airfares   and execution of the missions work (accommodation, feeding etc) in the missions’ field. If an individual   is unable to participate in the trip, funds raised, less incurred expenses and administrative fees, will   be credited to the next trip. If the individual is not able to go on the next mission trip, ACF Missions,   Inc will not be able to keep the money beyond one year, and will use the money to support its missions   work.   I agree to attend the team meetings, training sessions, debriefing, and to participate in other post-trip   informational meetings. I agree I will do my best to work towards achieving the goals of the mission trip.   By signing below, I confirm that information I have provided herein is accurate and true to the best of my   knowledge and that I agree with all the limitations stated above. *
Applicant's Signature: Abigail Ukwuani
Release of Liability and Specific Limitations:  I understand that there are certain risks inherent in overseas travel and my participation in this short- term mission trip to Africa, including but not limited to weather conditions, illness, accident or injury;   and the potential lack of accessible, desirable or effective medical care. Team members, leaders, and other volunteers serve at their own risk. I hereby release ACF Missions, Inc., its leadership and volunteers from any and all liabilities arising out of any injury, damage or loss which may be sustained by me during the course of my involvement in the mission trip including preparation thereof. I am aware that ACF Missions, Inc. will do whatever is within its organizational limit to ensure the safety of all team members. The mission trip experience could entail intense physical activities including continuous walking that require good physical condition. I understand that activities during the mission trip are often done in groups and that all team members are expected to participate fully as directed by the Team Leader.  As a Christian organization, ACF Missions expects team members to honor the Lord by a Christian lifestyle that is consistent with the Bible. As we seek to serve the Lord by serving those He has sent us to,   we endeavor to model Christ before them. Therefore all team members are required to avoid any inappropriate relationship with persons of the opposite gender or any appearance of this. Team members are expected to adhere to all instructions given by the Team Leader and follow guidance in the interest of team cohesion. Continuous disruptive behaviors, which affect the experience or compromise the safety of other team members, may result in such team member being advised to return home at their own expense.   ACF Missions, Inc. or its volunteers and leadership will not be responsible for the loss or damage to any personal property of team members. Any valuable items should be left at home.  I understand that travel dates, schedules, and country of ministry are subject to change. In the event that a trip is canceled, for any reason, ACF Missions, Inc will assign team members to another trip. Every team member is expected to raise a total of $3,000.00 for the missions’ trip, to cover the cost of airfares and execution of the missions work (accommodation, feeding, etc) in the missions’ field. If an individual is unable to participate in the trip, funds raised, less incurred expenses, and administrative fees will be credited to the next trip. If the individual is not able to go on the next mission trip, ACF Missions,   Inc will not be able to keep the money beyond one year, and will use the money to support its missions work.   I agree to attend the team meetings, training sessions, debriefing, and to participate in other post-trip informational meetings. I agree I will do my best to work towards achieving the goals of the mission trip.   By signing below, I confirm that information I have provided herein is accurate and true to the best of my knowledge and that I agree with all the limitations stated above. *
Applicant's Signature:
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