ER ABROAD: MISSION POSSIBLE

Mission Trip Application

We're excited you are looking to join one of our upcoming mission trips!

While we are a medical-focused mission team, we have numerous positions available on every trip that require no medical training or experience, just a desire to lend a helping hand to those in need!

All items denoted with an Asterisk (*) are required

PERSONAL INFORMATION

TRAVEL DOCUMENTATION

EMPLOYMENT INFORMATION

PREVIOUS MISSION TRIP EXPERIENCE

MEDICAL INFORMATION

ACCOMIDATIONS

EMERGENCY CONTACT INFORMATION

RELEASES

RISK AWARENESS

I am aware of the hazards and risks to myself, and property associated with this mission trip. I have read the U.S. State Department's Travel Advisory (if any) for this country. These risks include, but are not limited to, death or injury by accident, disease, viruses, terrorist acts, weather conditions, and inadequate medical services and supplies. I accept these conditions with full awareness, and I assume all risks of death, injury, illness, terrorist assaults and personal property loss or damage associated with such risks.

I waive any and all claims for damages against ER Abroad: Mission Possible, ER Abroad Missions leaders or their contracted agents, arising from death, injury, illness, disease viruses, inconvenience, or in property damage or loss occurring as a result of this mission trip for any reason including but not limited to any negligent act or acts of ER Abroad: Mission Possible, ER Abroad Missions leaders or their contracted agents which may in any way cause death, injury, illness, disease, virus, inconvenience or property damage or loss to me. I have read this release in its entirety, understand its contents, and agree to them of my own free will.

DAILY & MEDICAL DECISIONS 

I grant to any of the ER Abroad Missions leaders or their contracted agents the right to represent me in decisions relating to my welfare or the group welfare during the trip. I will follow the suggestions made on my behalf.

Additionally, I hereby grant any of the ER Abroad Missions leaders or their contracted agents my permission to authorize medical treatment and medication on my behalf. I will not hold any of the ER Abroad Missions leaders or their contracted agents responsible for the results of such treatment, medications or decisions made on my behalf if I am unable to make a decision myself due to a medical event.

SEXUAL MISCONDUCT

ER Abroad expects their volunteers, organizational members, board members, children, and other participants to honor God’s intention with regards to the gift of sexuality. Therefore, responsible participants are aware that inappropriate sexual activity abuses the power and authority of our education and developmental roles, is contrary to our principles, and is outside the scope of our duties of our vocation and participation. All participants of ER Abroad and our associates must comply with appropriate state, local and national laws regarding actual, alleged, or suspected sexual misconduct and harassment, and with the procedures outlined within this program.

PHOTOGRAPHY & VIDEOGRAPHY

I grant ER Abroad, its representatives, organizational members, and associates the right to take photographs and/or videos while participating within the program. I agree that ER Abroad may use such photographs, film footage, or tapes recordings of me for any lawful purposes, including such purposes as publicity, illustration, advertising, and Web content. I understand that I may not receive any compensation for postings used by ER Abroad.

VOLUNTEER LIABILITY

I agree not to hold liable or responsible ER Abroad, its organizational members and/or its associates from any damages to or loss individual property, sickness or injury which may occur while participating within the organization. It is my understanding that ER Abroad will take the needed precautions to minimize the chances of any incident occurring during the volunteer experience, and will endeavor to seek appropriate assistance, if and when needed, but will not be held responsible or liable. I acknowledge that said mission trip begins when I leave home en route to the airport prior to departure and ends when I return to my home at the conclusion of the trip

By signing below I certify that all information submitted by me on this application is true and complete. I understand that if any false information, omissions, or misrepresentations my application may be rejected, and active volunteer status may be terminated at any time. In consideration of my application, I agree to adhere to the policies and regulations of ER Abroad

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