hurting children into

future leaders.



changing lives

Apply for Mercy Hill/Two Cities Team

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Title:Mercy Hill/Two Cities Team
Location:Dominican Republic
Team Start:06/24/2018
Team Type:Ministry
Status:Open to Mercy Hill & Two Cities members
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Team questionaire
* Name as it appears on your passport
* Date of birth
* Gender
Male   Female
* Marital Status
Single    Married    Divorced    Widowed
Spouse's name
* Country of citizenship
* Do you have a valid passport?
Yes   No
* Passport Number
* Passport expiration date
* Home Address
Church name and address
Pastor's Name
Are you involved in any volunteer activities in your church?
Yes   No
If yes, in what capacity?
* Are you employed?
Yes   No
* Name of employment
* Address of employment
* What is your occupation?
* Will your employer be matching your mission trip donation costs?
* Home phone
Work phone
Mobile phone
* E-mail address?
Please list the closest major airport to you
* Have you had a tetanus shot? (Please note that tetanus shots are only valid for 10 years)
Yes   No
If yes, please list the date of last tetanus shot
*For the protection of the children that we serve, it is highly recommended that you are current on all suggested immunizations.*
* Do you feel like you submit well to authority and leaders?  Please explain:
* How do you anticipate this ministry will contribute to your spiritual, educational, and personal goals for growth?
* Do you have any physical/health limitations?
Yes   No
If yes, please explain
* Are you willing to adapt to different/difficult living conditions? (i.e. different language, food, culture, and bathroom facitilies)
Yes   No
* Are you willing to submerge yourself in the local culture as much as possible and to refrain from expressing (whether by word, implication or action) criticism of the local way of doing things?
Yes   No
* Have you ever traveled to a different culture?  Please explain:
* What foreign language(s) do you speak?
* You need to raise all the necessary funds for your trip.  Are you willing to do this with some guidance?
Yes   No
* Please share your Christian testimony (include how you became a believer, the major influences on your spiritual walk and how you have grown spiritually in the past year).
* What are your two or three strongest qualities?
* What are two or three traits that need to be strengthened or changed?
* What skills, talents, and abilities will you bring to the project? (i.e. experience with children, construction, a love for teenagers, talent in teaching)
* Emergency Contact #1 (please include name, address, phone number and relationship to them)
* Emergency Contact #2 (please include name, address, phone number and relationship to them)
* Health Care Provider
* Name of Policy Holder
* Group number and/or Account number
* Provider phone number (24 hour number if possible)
* Doctor's name and number
* List any allergies
* T-shirt size (men's sizes)
Small    Medium    Large    XLarge    XXLarge
* I authorize VisionTrust to use pictures of me for publications or on social networking websites.
Yes   No
* Code of Honor  

I understand that while participating on a VisionTrust Service Team I am a representative of VisionTrust and I am also representing Jesus Christ in my words and actions.  With this in mind I agree to the following statements:  

I will conduct myself in a manner that represents Jesus Christ's character.  
I will submit myself to the authority of my team leader and of VT's staff.  
I understand that if I do not conduct myself in an appropriate manner, VT has the right to send me home at my own expense.  
I understand that participating on a VT Service Team is a privilege and not a right, so I will take every opportunity to share God's love with others.  

I agree to VT's Code of Honor and state that the foregoing information is true and accurate to the best of my knowledge and understanding.  

Electronic initials:
* VT Communication Policy:  I agree to not exchange any personal information with sponsor children, local staff and translators.  This includes physical address, phone number, email, Facebook and other social networking sites.  I will not directly contact parties stated above.  I understand that all communication must be sent through VT in the USA.

Electronic initials:
* Electronic Signature
* Date

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