Guide to Completing Application

Instructions:

All information given in this application is confidential and will only be read by staff and those directly involved in the interview process.
Your answers to sensitive areas of your past do not necessarily disqualify you from the program. Our interest is to see that progress is being made in all areas of your life and that you are ready to enter this next step in your development. If there are any questions on the medical, psychological, and/or moral areas of this application that you would prefer to discuss in person during the interview process, please inform us upon submitting your application.
After your application and references are received, you will be contacted about interview times. Interviews will typically last 45-60 minutes.

If you have any questions and would like to talk to someone in person, you can call us at All Nations on Monday to Friday from 9:00 to 4:00 pm CST. For other questions, please email us at info@globalstorm.org. We would love to help you with any questions, concerns or issues that you have.

Mission starting date: June 1, 2009 Application deadline: April 1, 2009 Full Payment deadline: May 1, 2009

Date of Application: *

Personal Information

Full Legal Name: *

Preferred Name: *

Current Address

Street: *

City: *

State/Province: *

Country: *

Zip/Postal Code: *

Phone

Home: *

Work:

Mobile:

Email Address: *

Date of Birth: *

Gender: *

Male

Female

Place of Employment: *

Passport Information

Country of Citizenship:

Passport Number: #

Name on Passport:

City/Country of Issue:

Expiration Date:

Have you ever been refused a visa?:

Yes

If so, explain and give circumstances:

Education Information

Highest level of formal education (please check all levels that apply and fill in information on all that apply)

High Program or GED:

Completed

Did not finish

If Completed: Where?:

Some College Program:

Yes

If Yes: What Classification?:

Technical Program Degree:

Yes

If Yes: What Major?:

Bachelor Degree:

Yes

If Yes: What Major?:

Languages

Languages spoken in decreasing order of fluency:

Financial Responsibility

Global Storm is a short-term mission ministry of All Nations Family, Inc. (“AN KC”) in line with its exempt organizational purposes. Therefore, AN KC will receive, process, and expend only funds for Global Storm that are in line with AN KC charitable purposes. AN KC is classified for federal tax law purposes as a public charity, exempt under Section 501(c)(3) of the U.S. Internal Revenue Code.

AN KC exercises discretion and control over all contributions, according to IRS stipulations. All resources must be used and accounted for in accordance with the donor-intended purposes.

Global Storm is a joint partnership between AN KC and Hard Places Community (HPC), and thereby all trip income will be disbursed according to the budgeted amounts previously agreed upon between AN KC and HPC.

Global Storm trip participants may fundraise part or all of the funds needed for the trip. All contributions for Global Storm are tax deductible for mission trips that are preauthorized by AN KC and which furthers its exempt purposes. None of the preauthorized mission trips should involve significant element of personal pleasure, recreation, or vacation. These contributions made in part or in full by either participants or non-participants, may be receipted by AN KC as charitable contributions.

All trip payment must be paid in full prior to the trip. If a participant does not receive all the necessary monies, then Global Storm will hold the amount paid for up to one year from the start of the trip that was applied for. All trip monies for individual participant will NOT be returned or transferred to another person. The money can be held for the participant for up to one year from the start of the trip applied for.

Global Storm will hold funds in a dedicated account, and no other private or ministry funds shall be co-mingled in that account. Global Storm shall keep records and receipts of each funding transaction. All records and accounting shall be open and publicly accessible, and AN KC shall make such books and records available to significant donors and auditors, upon a reasonably requested time period.

Global Storm will issue all receipts and statements to donors and trip participants in a timely manner. During mission trips, trip leaders will oversee, record, and collect receipts for all trip expenses, which will be turned in to the Global Storm office upon the conclusion of the trips.

Financial Information

Do you have your complete Global Storm mission Fees? : *

Yes

If no, from what source will they come?:

Do you have any outstanding debts?: *

Yes

If yes, how will you cover them during your absence? :

Acknowledgement of Financial Responsibility

All trip payment must be paid in full by the specified date, May 1, 2009. If all of the necessary monies are not received then they will be held for the participant for up to one year from the start of the trip applied for. For example, if a participant applied for Summer 2009, the monies will be held until Summer 2010, etc.

All monies for the trip, even money that earned and paid by the participant, will NOT be returned or transferred to another person or another ministry.

Please make all checks payable to “All Nations.” Checks must have a separate note stating that the monies are “preferred or suggested for (participant’s name)." Contributors will receive a tax-deductible receipt from All Nations. Check should be sent to:

All Nations
PO Box 55
Grandview, MO 64030

I have read and agree with the All Nations Financial Policy, including last page of application. I understand that payment of the required program fees must be paid in full in US currency prior to May 1, unless otherwise approved in writing by the Program Director before my arrival in Kansas City. Further, I agree to meet in a timely manner, prior to the completion of the program, all personal expenses incurred during my involvement with Global Storm. I understand, that AN reserves the right to refuse my participation in the mission, if my fees are not paid by May 1 and that any partial monies paid not be returned to myself (the participant) or to any donors.

Confirmation: *

I disagree with these terms

I agree with these terms

Agreement of Parent or Guardian (if applicant is under 18): *

I am over 18 years old

I am under 18 years old and my parent or guardian agrees to these terms

Release of Liability

I/We do hereby release All Nations/Hard Places and Global Storm, its staff, agents, and volunteer assistants from any and all liability whatsoever arising out of any injury, damage, or loss which may be sustained by said person(s) during the course of their involvement with Global Storm.

Confirmation: *

I disagree with these terms

I agree with these terms

Agreement of Parent or Guardian (if applicant is under 18): *

I am over 18 years old

I am under 18 years old and my parent or guardian agrees to these terms

Emergency Information

In case of emergency, contact : *

Relationship: *

Address: *

Home Phone: *

Work Phone: *

Consent for Treatment

In case of emergency, I/we hereby agree to the performance of such treatment, including anesthesia and surgery, as the attending doctor or physician may seem necessary.

Consent for Treatment: *

Agreement of Parent or Guardian (if applicant is under 18): *

I am over 18 years old

I am under 18 years old and my parent or guardian agrees to these terms

Christian Experience

At what age did you become a Christian?: *

What is your religious background?: *

How did you hear about this mission opportunity?: *

Your Testimony: *

Please give us your testimony of how you accepted Christ and the major stages of your history with God. (This form will let you fill in as much as you want, but we recommend you limit yourself to one or two pages at most.)

Your current Walk with God: *

Please describe your present walk with God, including your personal discipleship, gifts, and passions. (one paragraph)

Relationship with your local church: *

Describe your present relationship with your local church. How have you served in your church? (one paragraph)

Relationship with your family: *

How would you describe your relationship with your family? How do they feel about your involvement with Global Storm? (one paragraph)

Have you ever been involved in the occult, new age practices, or a cult (Mormons, Jehovah’s Witnesses, etc): *

Yes

If yes, please explain (one paragraph):

Have you been baptized?: *

Yes

Date of Baptism:

What are your views and understanding of the power and gifts of the Holy Spirit? (one paragraph): *

Personal Health History

Please answer all questions Yes or No. Comment on all positive answers in the space below.

Condition Details:

Other illnesses or conditions:

Are you presently under a doctor’s care for any reason?: *

Yes

If yes, specify :

Are you taking any medication at this time?: *

Yes

If yes, specify:

Are you allergic to any drugs?: *

Yes

If yes, specify:

Do you have any other allergies?: *

Yes

If yes, specify:

Do you have a history of emotional instability or psychiatric treatment?: *

Yes

If yes, specify:

Do you now or have you ever received any compensation for disability from any source?: *

Yes

If yes, specify:

Do you have any physical impairments, handicaps, or health conditions which require special attention?: *

Yes

If yes, specify:

Details:

I have completed all portions of this application accurately for admission to Global Storm. I have also read the policies and, if I am accepted by Global Storm, I will abide by the spirit, guidelines, and schedules of the program.

Final Agreement: *

I disagree with the above terms

I agree with the above terms

Upon receiving your completed application, we will e-mail you to let you know we received it. If you do not receive such an e-mail, check with us to make sure that your application did not get lost in the cyperspace or the mail.

E-mail questions or applications to: info@globalstorm.org

Questions can be directed to Angel Sevigny or Dawn Woods at: (816) 216-1353