Frontier Projects Incorporated
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2018 Journey of Hope
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Journey Application - Haiti
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Alyssas I Pledge Hope Campaign
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2018 Journey Application:
Personal Information
*
Indicates required field
Name
*
First
Last
First and Last Name as appears on your Passport
Gender
*
Male
Female
Date of Birth
*
DD/MM/YYYY
Any applicants under the age of 18 must have parent permission. However, all applications will be assessed through a personal meeting or Skype call and then approval can only be given via the Frontier Projects Haiti Committee
*
I am under 18 years, and I understand the above approval process
Not applicable (over 18 years)
Preferred First Name / Nickname
*
Preferred Name for Correspondence / Journey
T-Shirt Size:
*
Youth Size - See below
Xtra Small
Small
Medium
Large
Xtra Large
Xtra Xtra Large
Other - See Below
For FP Team T-Shirt
Child / Other Size
*
Contact Information:
Mailing Address
*
Full Address including Post Code / Zip & Country
Home Phone
*
Include: Country + Area Code. If you don't have a home phone, write 'none'.
Mobile Number
*
If you don't have a mobile/cell phone, write 'none'.
Email
*
Correspondence will be via email.
Passport Information:
Full Name as on Passport
*
Passport Number:
*
Expiration Date:
*
Emergency Contact:
Emergency Contact Name:
*
Emergency Contact Relationship:
*
Emergency Contact Home Phone:
*
Emergency Contact Email:
*
Emergency Contact Mobile /Cell / Work Phone:
*
Spouse Name:
*
Write N/A if Not Applicable
Children's Names and Ages:
*
Write 'N/A' if Not Applicable
Background Information:
Have You Ever Undertaken Humanitarian, Volunteer , Mission Work? Tell Us Briefly About Your Experience:
*
Have you ever travelled Overseas?
*
Yes
No
Tell us a little about WHY you would like to journey with FP to Haiti:
*
Faith: We welcome anyone from any / no faith backgrounds. Please understand and respect that we are a christian NGO partnering with christian NGOs (primarily) in the communities we serve.
*
I have a personal relationship with Jesus Christ
I believe there's a God
I am from another faith (please detail below)
I'm not sure what I believe
No personal faith beliefs
Faith - any further brief details:
*
If you attend a Church - Church Name:
*
Team Skills and Team Roles:
We believe that each one of our team members has something only they can contribute to the team dynamic.
It is our desire to you feel comfortable within the team in a role that is suited to your skills, aptitude and passion.
For areas you are interested / skilled / gifted in, rate your experience:
Construction / Trades Qualifications / Experience:
*
None
Limited
Experienced
Construction / Trades Brief Details:
*
Medical Qualifications / Experience:
*
None
Limited
Experienced
Medical Brief Details:
*
Teaching Brief Details:
*
Working With Children - other than Teaching
*
None
Limited
Experienced
Teaching Experience:
*
None
Limited
Experienced
Working With Children Brief Details:
*
Musical Experience:
*
None
Limited
Experienced
Artistic Experience / Qualifications:
*
None
Limited
Experienced
Musical Experience / Instrument / Voice Brief Details:
*
Artistic Brief Details:
*
Other Language Skills besides English:
*
None
Limited
Experienced
Language/s Spoken:
*
Prayer Ministry Brief Details:
*
Prayer Ministry
*
None
Limited
Experienced
Worship Leading or Worship Team Experience
*
None
Limited
Experienced
Worship Leading or Team Experience - Brief Details:
*
Other Skills / Interests / Experience. Brief Details:
*
Team Roles
Below is a list of possible Team Roles. Please read each Role's description and requirements and then rate yourself how well you would fit into that role. We will let you know any Role/s you will be undertaking, after your Application has been accepted.
MEDICAL OFFICER / NURSE: Carries team med kit & monitors team for any signs of illness. Oversees medical donations & healthcare teaching. Organises or assists in first aid/medical clinics. Medical experience needed. Willing to teach cross-culturally (through translator).
*
Sign me up! This is exactly for me!
I would like to do this and would feel comfortable in this role.
I would be OK in this role and would be willing to do this.
I could do this if I must - but only if you're desperate!
Definitely in my 'Discomfort Zone'.
GEAR & PACK ORGANISER: Execute our logistic process for baggage/supplies transport and onto vehicles in country of destination. Requires muscles & needs to work well under pressure/chaos.
*
Sign me up! This is exactly for me!
I would like to do this and would feel comfortable in this role.
I would be OK in this role and would be willing to do this.
I could do this if I must - but only if you're desperate!
Definitely in my 'Discomfort Zone'.
CHILDREN FUN & ADMIN: Help coordinate school / child donations/lessons & lead/assist other team members in children’s ministry / games. Lead / assist with updating info. / photo sessions of all sponsored children. Must love children, be playful, able to teach/assist a lesson in front of a group.
*
Sign me up! This is exactly for me!
I would like to do this and would feel comfortable in this role.
I would be OK in this role and would be willing to do this.
I could do this if I must - but only if you're desperate!
Definitely in my 'Discomfort Zone'.
DONATIONS DISTRIBUTOR: Makes sure all humanitarian donations are sorted & distributed appropriately & according to planned distribution.Must be highly organised & detail oriented.
*
Sign me up! This is exactly for me!
I would like to do this and would feel comfortable in this role.
I would be OK in this role and would be willing to do this.
I could do this if I must - but only if you're desperate!
Definitely in my 'Discomfort Zone'.
WATER/DRINKS ORGANISER: Oversee & maintain water / drinks supplies each day & for any day trips. Monitor water consumption & purification for team to prevent dehydration & contamination.
*
Sign me up! This is exactly for me!
I would like to do this and would feel comfortable in this role.
I would be OK in this role and would be willing to do this.
I could do this if I must - but only if you're desperate!
Definitely in my 'Discomfort Zone'.
PHOTOGRAPHER / VIDEOGRAPHER: Photograph / video journey and project development. Create “shot list” and capture the experience photojournalistic style. Amateur to experienced photographer with own specific equipment. Story teller.
*
Sign me up! This is exactly for me!
I would like to do this and would feel comfortable in this role.
I would be OK in this role and would be willing to do this.
I could do this if I must - but only if you're desperate!
Definitely in my 'Discomfort Zone'.
MUSICIAN: Lead worship/musical performances for team and in villages. Able to sing and/or play an instrument. Some experience in leading musically.
*
Sign me up! This is exactly for me!
I would like to do this and would feel comfortable in this role.
I would be OK in this role and would be willing to do this.
I could do this if I must - but only if you're desperate!
Definitely in my 'Discomfort Zone'.
References
(only required if you have not been on a Journey with us before)
:
We may decide to contact two people in your life who would like to act as your referees. Please provide us with the details of one personal referee and one professional referee (neither can be family members). References will only be checked if we decide that we need to learn more about you through these referees.
Email will be our primary mode of communication with your referees.
Personal Referee Name
*
Personal Referee's Email:
*
Personal Referee's Home Phone or Mobile/Cell Number:
*
Relationship:
*
Professional Referee's Name:
*
Professional Referee's Email:
*
Professional Referee's Work Phone or Mobile/Cell Number:
*
Relationship:
*
Limitations:
Medical Release:
Have you had any surgery, major health problems (physical/ mental/ emotional) or been under a physician’s care within the past 3-5 years?
*
Yes
No
If Yes, give brief details:
*
Do you have any existing medical conditions that could require extensive medical treatments?
*
Allergy Information:
Do you have allergies to any medications?
*
Yes
No
If Yes, give brief details:
*
The trek to Bouvier School involves a mountainous 6-hour trek. While you don't have to have the fitness of an athlete, it is important that you must have a reasonable level of fitness.
*
I have a high level of fitness
I have a moderate level of fitness
Any further comments about fitness:
*
Please list any physical or medical limitations that may affect your ability to participate:
*
Do you have any other allergies (e.g. bee stings, etc.)?
*
Yes
No
Team Participation and Travel Agreement:
While we make every possible effort to have your trip run smoothly, the nature of traveling to/from and within these nations can present challenges, as with travel to many developing nations. Please understand that circumstances may change without notice or explanation and we will do our best to keep you informed.
If Yes, give brief details:
*
I agree to work with the team as a whole and work cooperatively with each individual on the team. I also agree to respectfully follow all reasonable directions from FP leadership.
*
I Agree
Funds are due according to the following schedule: $250USD OR $400AU deposit due after your Journey Application has been accepted. Further 1 instalment of $750US OR $1000AU at least SIX weeks before the trip. A full Trip Schedule, Deadlines & Information Pack - will be emailed to you once your Application has been accepted.
*
I understand and agree
Every effort will be made to make this trip as safe as possible. However, some portions of this trip will be physically strenuous. Our team are required to carry their own luggage. When trekking up to Bouvier, team members are only required to carry their own personal backpack. Rest rooms are not always readily accessible and may be primitive at times. Portions of the trip may require considerable amounts of walking. The weather in these nations can be very hot and humid and can affect your overall strength and energy. Team members will be eating food native to the culture, which may affect your digestive system. Please be aware that medical facilities in these countries are limited and may not be comparable to what is available in your home country. If needed, we may require a letter from your physician.
Do you have special food requirements or food allergies?
*
Yes
No
If Yes, give brief details:
*
In the event of a personal emergency or conflict that requires a change in my travel itinerary, I understand that it is my responsibility to pay any additional costs/fees associated with this change.
*
I understand and agree
In the event of a personal emergency that prevents me from attending this Journey altogether, I understand that funds I have already paid will be refunded to me IF POSSIBLE, and ONLY if they have not already been used to purchase food, materials or anything on my behalf when it was understood that I was attending.
*
I understand and agree
The information on this form is accurate to the best of my knowledge.
*
I agree
I understand that I am responsible for the full cost of the trip before departure on Journey. I agree to personally pay any remaining balance before departure. The total trip fee is $1000US OR $1400AU. This includes in-country transportation, all meals, all water / drinks, accommodation @ the mission, and a percentage going to our project/s on the ground. It does not include airfares, passport or ESTA fees, immunisation costs, travel insurance or spending money.
*
I understand and agree
Medications:
Please list ALL prescription and non-prescription medications your are currently taking (including dosage):
*
When you have completed this application and paid your deposit, a very detailed 'WELCOME to the TEAM', 'WHAT TO BRING' and 'IMPORTANT INFORMATION' email will be sent to you.
If you live in or near Coffs Harbour, Australia, we will also meet with you in person. Our team will have a pre-trip dinner to get to know each other and go through the trip information!
Any further Questions or Comments?
*
I have copied down the following Bank details. I will complete a Direct Deposit of the Deposit of $250US / $400 AU when my application is accepted: Electronic transfer to 'Frontier Projects Haiti' Account. BSB: 082551 Account Number: 143707732
*
Yes
Electronic Signature:
*
Parent / Legal Guardian Electronic Signature if under 18 years of Age:
*
Write N/A if not applicable
Date Signed:
*
Submit
Home
More About Us
Support/ Sponsor
Giving With Mike
>
RTC
MYOB
Haiti - Sponsor a Love Community Child - Direct Debit
Haiti - Sponsor a Love Community Child - Paypal or Credit Card
Haiti- Sponsor a Childs Education Paypal or Credit Card
Haiti- Sponsor a Childs Education Direct Debit
Haiti - Ongoing Bouvier Student Sponsorship
Haiti - Ongoing Love Community Sponsorship
Frontier Projects Thailand - Donate
>
Frontier Projects Thailand - Donate to Rescue House
Donate to our Building Projects: Haiti
Gifts that Change Lives for Haiti Children or Families
Haiti - General Donations
Haiti Projects
Haiti - Sponsoring
Bouvier School Projects
Love Community
>
Quilts Made with Love
Love Family Homes
Michael Crossland Golden Key Scholarship
Journey With Us
>
2018 Journey of Hope
Haiti 2017 Journey of Hope
Journey Application - Haiti
Haiti 2016 Journey of Hope: Read the Story
Haiti 2015 - Journey of Hope - Read the Story
Alyssas I Pledge Hope Campaign
Thailand & New Britain
New Britain Projects
Thailand Projects
>
Frontier Projects Thailand
Rescue House
Events
Belinda & Friends in Concert 2018
Hope 4 Haiti
Power of 1 Projects
Contact
Thankyou Page
Generator Thanks
Team Page
Sponsors Contact Page
✕
