VOLUNTEER APPLICATION

REQUIRED TO SUBMIT- the following will be required to submit application:

Emergency Contacts
Reference Contacts (2)
$25 Application Processing Fee
15-20 minutes to complete application

Full Name *

First Name Middle Name Last Name

Nickname - How would you like us to call you?

Age *

Gender *

Date of Birth *

Month Day Year

Citizenship *

Marital Status *

Occupation *

Highest Education Level *

If you are a student, what is your major/field of study?

If you are a working professional, what is your profession?

Preferred Language *

English Spanish

Cell Phone Number *

Area Code Phone Number

Alternative Phone Number *

Area Code Phone Number

Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail *

Instagram Name

Ex: @christianbrigades , @johndoe

How often do you check your email? *

What is the most convenient way to reach you? *

Do you have a valid passport with expiration date 6 months past your trip return date?(Ex. If your trip return date is January, your passport should be good upto July) *

Do you have global entry / TSA pre-check / Sentri? *

Dietary Restrictions *

Vegetarian Lactose Intolerant None

Food Allergies

Medication Allergies

Medical Conditions: Please include medication name & dosage.

Emergency Contact *

First Name Last Name

Relationship *

Emergency Contact *

Area Code Phone Number

Emergency Contact E-mail *

How did you first hear about Christian Brigades? *

Did you have a one on one info call with a CB Staff Member? *

What motivates you to apply to volunteer with Christian Brigades? *

Have you ever done a mission trip before *

If yes: where, when, with what organization & what was your role? If no, type "N/A." *

What trip are you applying for? *

Romania, June 21-29, 2023 Congo-Africa, August 2023 (1st & 2nd week)

Trip Payment - all trips are $1,750 + flight. *

I would like to split my $1,750 trip fee into monthly installments. I would like to pay the $1,750 trip fee in full.

What is your primary plan to fund your trip? *

Fundraising/Sponsors Personal Savings

Trip Payment Plan - How would you like to breakdown your payments? *

$175/mo (10 month plan) $292/mo (6 month plan) $350/mo (5 month plan) $438/mo (4 month plan) $584/mo (3 month plan) $875/mo (2 month plan) $1,750/mo (1 month plan - paying in full)

Describe a moment when you had to be flexible to follow orders under a stressful scenario with limited resources and how did you comply? *

Adult T-Shirt Size *

Small Medium Large X-Large 2X-Large 3X-Large

Reference 1

Reference 1 Full Name *

First Name Last Name

Reference 1 Phone Number *

Area Code Phone Number

Reference 1 Email *

example@example.com

Reference 1 Title *

Reference 1 Institution Name *

Refrence 2

Reference 2 Full Name *

First Name Last Name

Reference 2 Phone Number *

Area Code Phone Number

Reference 2 Email *

example@example.com

Reference 2 Title *

Reference 2 Institution Name *

Trip Availability *

Please select your prefered phone interview appointment: *

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Morning 8-11am
Afternoon 12-4pm
Evening 5-7pm
Night 8-10pm

VOLUNTEER PARTICIPATION AGREEMENT All Volunteers participating in any travel program of Christian Brigades, hereafter referred to as "CB", must read, intial and sign the following statement. By initialing, you are agreeing to all statements that are disclosed. Your initials serve as an agreement that fully represents your understanding of each of the statements aforementioned. *

Initials

____ 1. I voluntarily and without reservation on behalf of myself, my heirs and my estate, release and discharge absolutely and forever, CB, and any of its agents or program partners, and waive all claims, demands, of whatever nature for any injury, loss, damage, accident, delay, actions or cause of action, known or unknown, which I now have or may acquire in the future, irregularity or expense arising out of or directly or indirectly relating to my participation in a CB program, and arising from the use of any vehicle or services, strikes, war, acts of terrorism, weather, sickness, quarantine, government, airline, buses, transporting company, firm, individual, or agency. I understand the terms of this release and all the consequences of it and acknowledge that I have not executed it under duress. THIS IS A RELEASE *

Initials

_____ 2. I grant CB, or any one of its agents, full authority to take whatever action they feel is warranted regarding my health and safety to arrange any medical treatment for me at my own expense, and that if deemed necessary, by CB personnel and/or local medical authorities in case of an injury. Depending on my injury, and any recommendation from the acting physician, I will be sent back to my home country, at my own expense, for any further medical treatment. *

Initials

_____ 3. I will comply with all the required visas and international travel documents requested by authorities in destination and transit countries in which I travel, as well as their expiration dates. I understand that failing to have an updated passport of my local country at the time of travel, and failing to travel, due to this requirement, may result in trip cancellation at my own expense. *

Initials

______ 4. I agree to purchase International Travelers Insurance required by CB which covers health and travel emergencies. I understand that failure to obtain this insurance may affect my ability to participate in this program. *

Initials

_____ 5. If I cancel my trip for personal reasons or if I fail to comply with any international travel regulations (such as valid passport or entry visa to destination or transit country) and ask for a refund, I accept the following policy: all trip payments are non-refundable and non-transferable. If I wish to receive some sort of refund, I must submit a claim to the travelers insurance company. *

Initials

_____ 6. I understand this is a supervised program and agree to uphold individual and group standards set forth by CB. These standards include: No nicotine or cigarette smoking of any sort while traveling with CB. No alcohol drinking or illicit drugs while traveling with CB. No on-site visits by friends/family not previously planned/authorized by CB. No leaving of premises without CB's prioir authorization. Any type of medication has to be made aware, with enough anticipation to CB staff. If any of these standards are violated, you may be removed from the CB program that you applied for, and if you are in a host country and break any of these standards, you may be removed from the CB team and returned home at your own personal expense. *

Initials

______ 7. If my conduct is deemed incompatible with the interests and standards of the group and if my enrollment is TERMINATED, no refunds can be expected and returning to the United States is at my own expense. A verbal warning may be provided prior to expulsion from the program. A written report may be provided upon request. At the discretion of CB, volunteers performance may be evaluated and such evaluation will be the basis for CB response to any requests for recommendation by volunteers school, future (graduate) school/employer. *

Initials

_____ 8. I understand that this is a volunteer program and an international humanitarian team effort serving the underserved in remote locations and difficult circumstances which on occasion may include basic-needs-only housing, no hot water and travel over long distances, both land and water, in safe but basic transportation. *

Initials

_____ 9. I grant CB permission to reproduce photographs or movies, of me taken during the period of time that I am participating in this program, including written statements I may make concerning this program. I authorize CB to openly use any photography and/or video footage of me to promote the mission of the organization without expecting any type reward or compensation. *

Initials

_____ 10. I understand and agree that if the CB trip that I have recently enrolled in is cancelled due to an emergency or for any other reason, that any and all payments that have been made to my trip will not be refunded, and I will have to submit an insurance claim to the travel insurance for a refund. *

Initials

_____ 11. I understand that CB is not responsible for any damaged, stolen, or broken property, and it will be my responsibility to take care of anything that gets lost, broken or damaged. *

Initials

_____ 12. I understand that all trip payments shall be submitted online at christianbrigades.org by the dates designated in my payment plan. If I do not submit my payment by the due date a $50 inconvenience fee on top of my amount due will automatically be added each time. *

Initials

_____ 13. I am aware that if I book my flight without written approval from Christian Brigades, I can be dropped from the program without any reimbursement. *

Initials

_____ 14. I am aware that if I decide to cancel my participation for the designated trip all funds submitted towards trip payment and/or flight become a donation to Christian Brigades and if I want some sort of refund, I will have to submit a claim to the travelers insurance. *

Initials

_____ 15. Participation Agreement: I have read and agree to abide to Christian Brigades's Volunteer Participation Agreement. *

Initials

Electronic Signature. By typing your full name below, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this agreement. *

Signature

You may still submit your application without the following documents. However, they will need to be submitted at a later time for program acceptance.

Letter of Rec from Pastor or Work Supervisor (Nonrelative)

Resume

Head Shot Photo

Copy of Passport

Payment Agreement *

I understand that all payments and donations made towards Christian Brigades are non-refundable and non-transferable.

A payment plan will be set for you once accepted.

In order for your application to be complete, a $25.00 non-refundable processing fee is required. Please submit payment after completing this form.

Application Fee *

Application Fee $ 25.00

Total $ 0.00

VOLUNTEER APPLICATION

REQUIRED TO SUBMIT- the following will be required to submit application:

I. Personal Background

II. Contact Information

III. Medical Information

IV. Emergency Contact Information

V. Pre-Interview Questions

VI. References

VII. Availability

VIII. Participation Agreement

IX. Document Uploads

IX. Payment