Hear the Cry - Trip Application

Hear the Cry - Trip Application

Thank you for your interest in being a part of an upcoming trip. Please allow yourself 30 minutes to complete this application. If you have any questions or need assistance, please email Hear the Cry (info@hearthecry.org)
Which trip are you applying for?*
Name - Full name and exact spelling as it appears/will appear on your passport*

First NameMiddle NameLast Name
Gender*
Birthdate*

MonthDayYear
Age On Trip Start Date*
Marital Status*

MarriedSingle
If married, spouses name
Do you have a current passport? (Must be valid 6 months after the return date of this trip)*

Yes, I have a current passport.No, the one I have is expired.No, I do not have a passport.
Passport Number*
Passport Expiration Date*

MonthDayYear
Country of Citizenship*
Why do you desire to serve on this team?*
How did you hear about this trip?*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Parent E-mail if under the age of 18.
example@example.com
Phone Number*

Area CodePhone Number
Occupation*
Church Name*
How long have you attended?*
Pastor's Name*
Church Phone Number*

Area CodePhone Number
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
General Health

Medical History - Please indicate if and when you have had any of the following:
Medical Conditions: Check all that apply

AsthmaHepatitisSeizuresDiabetesRheumatic FeverStomach UlcersLeukemiaFainting SpellsExcessive FatigueDepressionPsychiatric HistoryTuberculosisCancerAids/HIVHigh Blood PressureIncapacitating HeadachesNervous BreakdownOther
If other: please explain
Medical Conditions

Is there any medical condition (past or present) that would be helpful for us to know about?
Medications
Allergies*
Please put N/A if none.
Dietary Restrictions and Food Allergies*
Please put N/A if none.
Is there any reason you cannot tolerate any of the following:

Rigorous Outdoor ActivityHigh Temperatures
If yes, please explain
T-shirt size
Personal testimony - Write a brief paragraph sharing your salvation experience and current relationship with Christ*
What are the primary strengths, gifts, and abilities you have that would add to this team?*
How have you grown in Christ over the past year, and in what activities have you been involved in that have helped you grow?*
In what ways are you involved at your church and other in other ministries?*
Previous mission experience. (Please include the sending mission organization, ministry location and duration)
Please list any languages you are conversational or fluent in speaking:
Is there anything else you would like us to know about you?
Authorization and Agreement

The information on this application is accurate and true to the best of my knowledge. I understand that I am giving Hear the Cry the right to use my picture, voice and/or testimony in any form of promotional advertising materials.
- I also understand that once accepted to this trip, I agree to set up a fundraising platform and account with Pure Charity using the specific link I will be issued to group me on the appropriate team. This account will be set up within two weeks of my approval to the team.
- I agree to make a deposit of $25 to complete the registration.
- I understand I am responsible for the full price of the trip, and understand donations are preferenced but not restricted to this team member.
- I understand that to remain tax-deductible, donations connot be refunded for any reason.
- I undersand all donations are tax-deductible to the full extent of the law, so far as not goods or services were exchanged.
- I also understand that any funds not raised by support at my trips set payment dates will be charged to the credit card I will provide.
*Hear the Cry is a DBA under the nonprofit A Jesus Church Family’s 501c3 organization and all donations are tax-deductible to the full extent of the law, so far as no goods or services were exchanged. To remain tax-deductible, donations cannot be refunded for any reason. Donations are preferenced but not restricted to this team member. You will receive a receipt recognizing your donation in January following the year of donation.
I agree
Name*

First NameMiddle NameLast Name
Today's Date*

MonthDayYear
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