Casas Global Outreach

Application for Short-Term Trip

Casas Pastors and Key Leaders
 (Elders, BF Directors and BF Teachers)

For Casas-Endorsed Trips

 

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(to submit by email, cut and paste this form into a blank email and send to casasglobaloutreach@gmail.com)

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Casas overflows with great joy and deep passion to send out leaders of our church family whose field ministry lives out Casas’ definition of global outreach: going outside our normal sphere of influence (culture, language, or nation) to share the message of Jesus, start new churches, and partner with existing churches to reach their communities.

 

Leadership role

Which leadership role are you currently serving (circle or highlight the choice describing your service):    Pastor    Elder    BF Director    BF Teacher

 

Contact Information

Full name (as it appears on your passport) ___________________________

 

Please submit two copies of your passport with your application; passports should be valid through six months after the return date of your trip.

 

DOB (dd/mm/yyyy) __________________

 

Mailing address: __________________________________________________________

 

________________________________________________________________________

 

Home phone____________ work phone____________ cell phone____________

 

email_______________________________

 

 

Trip Information

Trip Date: __________________

 

Trip Destination (code name ok):  __________________________________________________________

 

First name of Casas global worker in destination:  ________________________________________________________________________

 

 

Emergency Contact Information

In case of emergency contact:___________________________

 

At home phone____________ work phone____________ cell phone____________

 

Beneficiary (for  travel insurance) _______________________

 

Relationship of Beneficiary to you___________________

 

 

Personal and Health Information

  1. Can you carry your own 50 lb. suitcase and carry-on bag, walk 5 miles daily on hard surfaces, and climb steep staircases with your luggage or backpack?
  2. If no, please explain.
  3. Please rate your overall health:    excellent,   good,   fair,   poor
  4. Please explain any health or medication concerns:
  5. Do you require special medical accommodations such as refrigeration, electrical outlets or special equipment? If yes, please list:

 

Health Concerns may limit the trips available to you.

 

Read Before Signing!

Because Casas wants each person going on a short-term trip to have a safe and effective experience, the church asks each person to commit to the following actions. By submitting this application, either electronically or on paper, you:

 

 

 

Name or Signature: _________________________

(Electronic submission constitutes agreement with the above conditions.)

Date: ____________

 

Please submit your response to:

Global Outreach

Casas Adobes Baptist Church

10801 N. La Cholla Blvd.

Tucson, AZ 85742

 

Or, to: casasglobaloutreach@gmail.com

(520) 878-1274 or fax (520) 878-1211, Attention: Global Outreach Short-Term Trips