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 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 serviceAttention: Medical ProfessionalsI can serve as: Provider Nurse Pharmacist 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, NotesCommentsThis field is for validation purposes and should be left unchanged. A Summary of Our Statement of Faith
