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Ministry Application/Agreement Form
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"And whatever you do in word or deed, do all in the name of the Lord Jesus, giving thanks through Him to God the Father." Colossians 3:17 |
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"If possible, so far as it depends on you, be at peace with all men.” ROMANS 12:18 |
If you are considering a missions trip to BYMinistries, we ask that you complete and sign this form. You can cut/paste into an email or send it directly to us in Cochabamba at the address below. A signed copy must be sent to us or brought with you. This will be the first step in marking a “place on the calender” for you.
In addition, we will need a letter of recommendation from your Pastor before we can consider your application. For some this may feel a bit uncomfortable, however, Bolivian Youth Ministries is a Christian organization that recognizes the need for strong references for it's volunteers.
Personal Information:
Name________________________________
Address______________________________
_______________________________
Phone Number__________________________
Email Address__________________________
Birth Date/Age__________________________
Passport # and Exp Date__________________
Name of Church________________________
Pastoral Reference______________________
Church Address_________________________
_________________________
Church Phone__________________________
Emergency Contact:
Name________________________________
Address______________________________
_______________________________
Phone Number__________________________
Email Address___________________________
Relationship_____________________________
Medical Information:
Are you allergic to any foods, medications, animals? NO____ YES____
If so, please identify________________________________________
Are you presently taking any medications? NO____ YES____
If so, please identify________________________________________
Do you have any specific dietary needs? NO____ YES____
If so, please identify________________________________________
Essay Questions:
(Do your best; no pressure)
What dates would you like to be in Bolivia?
__________________________________________________________________________________________________
How did you hear about Bolivian Youth Ministries or Misión para la Niñez Boliviana?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
What is your motivation for wanting to visit/serve the children's homes in Bolivia?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
What are you hoping to learn or experience from your time in Bolivia?
_________________________________________________________________________________________________
__________________________________________________________________________________________________
Are you able to work/serve under flexible and sometimes stressful situations?
_________________________________________________________________________________________________
What are your areas of interest; what would you like to do during your time in Bolivia?
__________________________________________________________________________________________________
Please share with us your relationship with God?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Agreements:
In case of medical emergency, I consent to needed treatment as deemed necessary by an attending doctor or physician.
I understand that I am traveling to/from Cochabamba, Bolivia and staying here at my own risk and do hereby release Bolivian Youth Ministries, it's staff and administration from any and all liability arising from injury, damage or loss; personal or property.
I understand that no tobacco products, alcohol or drugs are permitted on mission property nor to be used while visiting or serving with Bolivian Youth Ministries in Cochabamba, Bolivia. Any violation of this policy will result in immediate dismissal from Bolivian Youth Ministries' program and a request that you return home.
Furthermore, I have read and am in agreement with BYM's statement of faith and agree to uphold and abide by the standards contained therein.
Signature of Applicant ____________________________________________________ Date __________
Signature of Parent/Guardian (if applicant is under 18 years of age) _______________________________ Date __________
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