General InformationToday's Date* MM slash DD slash YYYY Name as on passport* First Middle Last Nickname or Preferred Name* Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Passport Number* Passport Expires* MM slash DD slash YYYY Date of Birth* MM slash DD slash YYYY Church Affiliation* HealthHealth Category* Excellent Good Fair Health Concerns (details)*We ask that you not apply if you have a physical problem that would be life-threatening if it were to occur in Jamaica during a J-Team.Contact us if you have any of these* Significant allergies Physical challenges Dietary restrictions None of the above PreferencesWhich team fits your schedule and what area of service are you suited for?Trip Preference* Anytime August 5-13, 2023 November 4-12, 2023 February 3-11, 2024 May 4-12, 2024 August 3-11, 2024 November 2-10, 2024 February 1-9, 2025 May 3-11, 2025 August 2-10, 2025 November 1-9, 2025 Preferred area of service* Kids/Sports Ministry Medicine Clinical Records Evangelism/Encouragement Building Training and/or experience that relates to area of service*Attention: Medical ProfessionalsI can serve as:* Provider Nurse Pharmacist Patient Screener Because of the nature of TEAMS, I understand that I will need to treat people outside of my specialty.* Agree Your medical specialty* How did you learn about TEAMS for Medical MissionsAn internet search, or through a former J-Teamer, a TEAMS missionary, pastor or church leader (optional - name, phone number, email address), or some other way?*Emergency Contact InformationGive the name of someone not traveling with you.Name* First Last Relationship to you* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Work Phone*Email* Safe Arrival NotificationA "safe arrival" email will be sent back home upon your arrival. Please designate to whom you want this sent, if different from above.Name* First Last Email* TEAMS Polo ShirtIf this is your first J-Team in the past 3 years please choose a size below. If not, and you would like to have another shirt, please contact us at: teams@t4.orgGender Specific Sizing* Small Medium Large X Large 2X Large Terms & ConditionsTo help insure the most enjoyable and profitable ministry trip possible, please read the following fine print. If you are in agreement with each statement, please check the corresponding box.* I am responsible for covering my own trip fees as set by TEAMS. The trip fee is $1,250. Contributions will be receipted as being for the work of TEAMS for Medical Missions and credited to my trip account. If there is a surplus after your trip fund is paid, it will be redistributed to other mission needs according to policy. I am responsible for making my own travel arrangements and the cost of purchasing airfare. While there will be time set aside for sightseeing and recreation, this is primarily a work project involving teaching, evangelism, medical services, and construction. I might need to work in seasonable heat, carry light to moderate loads for short distances, climb steps, be on my feet, or ride in a vehicle on occasionally rough roads. A person who is older or has health concerns should realistically consider the physical demands of such a trip. J-Team members should avoid divisive theological arguments or political discussions. J-Team members will travel to and from Jamaica on the same days as the rest of the team. This means a Saturday departure for Jamaica and returning home 8 days later on a Sunday. Unless prior arrangements have been made, these will be the days that your airline tickets will be purchased for. During the trip, J-Team members will attend all group meetings, prayer and devotional times, and planning sessions. By submitting this Application form I indicate that I have read and understood this form, the J-Team Policy on Refunds, and A Summary of Our Statement of Faith and will work in harmony with them. I am responsible to read all emails specific to my trip. Questions, Comments, NotesEmailThis field is for validation purposes and should be left unchanged. A Summary of Our Statement of Faith
