PhillyMissionsApp

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    Inner City Missions

    Short Term Project

    Participant Application

    Please complete the form honestly and sign in the designated place at the bottom.

    Name:

    Address:

    City: Sate: Zip Code:

    Phone Number: Other Phone:

    Age: Birth Date:

    Emergency Contact: Relation:

    Emergency Phone Number: Cell:

    Group Information

    Group/Organization: Carnegie Mellon

    Missions Background

    Have you ever been on a mission trip before? YES NO

    If yes, where and briefly describe:

    Describe your relationship with Jesus Christ:

    Agreement

    I promise to participate in my group's preparation process and keep the terms of our covenant.

    I will not complain during the project and will do my best to have a servant's attitude.

    I will obey leadership on my project.I will not use bad language, alcohol, drugs, or tobacco on the project.

    I will adhere to the dress code established by Inner City Missions.

    I will follow safety and security precautions during the project.

    I understand that if I break the terms of this agreement, my leaders may choose to send me home at my

    own expense.

    Student Signature: Date:

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    Inner City Missions Skills Assessment

    Please indicate if you have any of the following skills. This will help ICM to better schedule work.

    Foundation (Laying/Repairing)

    Brick Work/ Masonry

    Roofing (repairing/ laying shingles)

    Replacing rotten wood

    Gutting/Demolition

    Carpentry/ Framing

    Insulation (Installing)

    Plumbing

    Electrical/ Wiring

    Hanging Sheet Rock

    Painting Interior Walls

    Varnishing Floors and Cabinets

    Painting/ Detail, touch-up

    Hanging Doors or Windows

    Trim/ Doors or Windows

    Painting Exterior

    OTHER

    Medical

    Dental

    Medical/ Clerical

    Lifesaving/ First Aid

    OTHER

    Accounting

    Administration

    Bookkeeping

    Computer Programming

    Data Processing

    Typing

    Office/ Clerical

    OTHER

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    Graphic Arts

    Photography

    Music (Instruments)

    Dance

    Journalism/ WritingCooking

    Website/ Internet Design

    OTHER

    Public Speaking

    Fund raising/ Development

    Research/ Writing

    OTHER

    Bible Teaching

    Street Evangelism

    Counseling

    Youth Work

    Elementary Education

    Special Needs

    Sports/ RecreationOTHER

    Thank you for filling out this survey. This survey should help Inner City Missions as well as your team

    leader as we plan for this short-term trip to Philadelphia. If there are any other skills/talents that were

    note listed, please list them below. We look forward to seeing you in Philadelphia.

    LIST SKILLS HERE.

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    Carnegie Mellon Application Supplement

    Fellowship:

    Major:

    Email:

    Food Allergies:

    Academic Status: FIRST-YEAR SOPHOMORE JUNIOR SENIOR GRAD

    To prepare for the trip, we will hold about 6 meetings running about an hour and a half. Please indicate

    when is best for you to have these meetings. Monday Thursday meetings would be held in the

    evening, Friday Sunday meetings would be held in the afternoon. While we will not meet multiple

    times per week, please select at least 3 days so we can determine which day is best for the group.

    MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

    SATURDAY SUNDAY

    How did you come to faith in Christ?

    Is there anything else you would like to say?

    Preparing spiritually and logistically for the trip will involve some careful work, planning and prayer.

    The more people who help out, the easier it will be. If you are interested to learn more about ways you

    may be called to contribute, the descriptions below will help you to learn about each role.

    Worship Team: Brief times of worship will help us to focus and begin our meetings (our pre-trip

    meetings and also in Philly).

    Logistical Preparation: No group trip to another city comes without due complication. We'll need to

    arrange transportation, make copies for meetings, collect forms, send emails, etc. If you enjoy

    organizing, this may be for you.

    Preparation Meeting Speakers: Each preparation meeting will likely involve a speaker to discuss some

    aspect of missions, our work, or spiritual preparation. If you feel you may be called to contribute in this

    area, then consider making yourself available.

    Finance: God calls us to be careful stewards of his resources. As we raise support to help cover our

    costs, we will need somebody to handle accounting. It will be very helpful (necessary) to have a small

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    number of dedicated people in this important area.

    Prayer: While all should be in prayer about the trip prior to departure, some may feel specifically called

    to pray for the trip. This could take shape as a prayer d-list, prayer meetings, or anything else you

    would like to engage in.

    Sub-team Leader: Depending on group size, it may be helpful to form sub-teams within the larger team

    to help with preparation and work while we are on-site. Sub-team leaders would help to coordinate thework and preparation of their group. This could include opportunities such as facilitating a discussion

    group during a preparation meeting, or helping to keep the team organized while we are on the trip. It

    will also be a good chance to get to know the specific people in a sub-team, praying for them and

    encouraging them to grow throughout the trip.

    Please indicate below if you are interested to support the trip in any of the above described ways.

    Please note that this is not a commitment to unlimited work, but rather an expression of interest.

    Worship

    Logistical Preparation

    Speaking at a Prep. Meeting

    Finance

    Prayer

    Sub-team Leader

    Financial Info:

    The trip cost is estimated to be $375, but this is subject to change. A $50 deposit is required by

    December 16.

    Deadlines:Please submit this application by December 16 to [email protected].