Casas Global Outreach

Application for Short-Term Trip

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

For Casas-Led 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 help our global workers 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/will appear 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:  _______________________________

Health Information

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?  If no, please explain.

Please rate your overall health:    excellent,   good,   fair,   poor

Please explain any health concerns:

Do you require special medical accommodations such as refrigeration, electrical outlets or special equipment? If yes, please list:

Emergency Contact Information

In case of emergency contact:___________________________

At home phone____________ work phone____________ cell phone____________

Beneficiary (for  travel insurance) _______________________

Relationship of Beneficiary 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:

·         Release Casas from liability attached to any outreach you are part of.

·         Commit to complete all training in order to be an effective ambassador to another culture.

·         Commit to follow the leader of your trip.

·         Commit to cast vision to those you lead about the spiritual value of short-term trips.

Signature_________________________Date____________

Please submit your response to:

Global Outreach

Casas Adobes Baptist Church

10801 N. La Cholla Blvd.

Tucson, AZ 85742

Or casasglobaloutreach@gmail.com

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