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Ministry Application/Agreement Form

"And whatever you do in word or deed, do all in the name of the Lord Jesus, giving thanks through Him to God the Father."

Colossians 3:17

"If possible, so far as it depends on you, be at peace with all men.”

ROMANS 12:18





If you are considering a missions trip to BYMinistries, we ask that you complete and sign this form. You can cut/paste into an email or send it directly to us in Cochabamba at the address below. A signed copy must be sent to us or brought with you. This will be the first step in marking a “place on the calender” for you.

In addition, we will need a letter of recommendation from your Pastor before we can consider your application. For some this may feel a bit uncomfortable, however, Bolivian Youth Ministries is a Christian organization that recognizes the need for strong references for it's volunteers.





Personal Information:

Name________________________________

Address______________________________

_______________________________

Phone Number__________________________

Email Address__________________________

Birth Date/Age__________________________

Passport # and Exp Date__________________

Name of Church________________________

Pastoral Reference______________________

Church Address_________________________

_________________________

Church Phone__________________________



Emergency Contact:

Name________________________________

Address______________________________

_______________________________

Phone Number__________________________

Email Address___________________________

Relationship_____________________________



Medical Information:

Are you allergic to any foods, medications, animals? NO____ YES____

If so, please identify________________________________________

Are you presently taking any medications? NO____ YES____

If so, please identify________________________________________

Do you have any specific dietary needs? NO____ YES____

If so, please identify________________________________________



Essay Questions:

(Do your best; no pressure)

What dates would you like to be in Bolivia?

__________________________________________________________________________________________________



How did you hear about Bolivian Youth Ministries or Misión para la Niñez Boliviana?

__________________________________________________________________________________________________

__________________________________________________________________________________________________



What is your motivation for wanting to visit/serve the children's homes in Bolivia?

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________



What are you hoping to learn or experience from your time in Bolivia?

_________________________________________________________________________________________________

__________________________________________________________________________________________________



Are you able to work/serve under flexible and sometimes stressful situations?

_________________________________________________________________________________________________



What are your areas of interest; what would you like to do during your time in Bolivia?

__________________________________________________________________________________________________



Please share with us your relationship with God?

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________









Agreements:

In case of medical emergency, I consent to needed treatment as deemed necessary by an attending doctor or physician.

I understand that I am traveling to/from Cochabamba, Bolivia and staying here at my own risk and do hereby release Bolivian Youth Ministries, it's staff and administration from any and all liability arising from injury, damage or loss; personal or property.

I understand that no tobacco products, alcohol or drugs are permitted on mission property nor to be used while visiting or serving with Bolivian Youth Ministries in Cochabamba, Bolivia. Any violation of this policy will result in immediate dismissal from Bolivian Youth Ministries' program and a request that you return home.

Furthermore, I have read and am in agreement with BYM's statement of faith and agree to uphold and abide by the standards contained therein.



Signature of Applicant ____________________________________________________ Date __________

Signature of Parent/Guardian (if applicant is under 18 years of age) _______________________________ Date __________




website@BYMinistries.org


Or by regular mail:

Jonathan and Linda Baker

Cajón 3471

Cochabamba

Bolivia