DATA/COMMITMENT FORM

Dear IMPAC Team Member,
Kindly complete our information/commitment to missions form.

Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone (Mobile)*

Phone (Home)

Email*

Place of Employment:

Address

Street Address Address Line 2 City State ZIP Code

Job Title:

CONTACT IN CASE OF EMERGENCY

Name*

First

Phone*

Email

T-Shirt size*

Please take some time to answer the following questions. These are for your benefit as much as they are for IMPAC. Answer the questions honestly. Don’t feel like you need to sound super “spiritual”. Being real is what is most important.

1. Why would you like to become a part of IMPAC?*

2. What division of IMPAC would you like to be involved in ? (Select all that apply)*

Media & Creatives - Include musicians/music band, singers, dancers, poets, videographers, photographers, visual artistes, etc.
Community Immersion - Include inventory management, logistics and distribute supplies: food, clothing, education items, medical devices, care packages, etc.
Health & Wellness - Include medical team, fitness trainers, coaches and sport teams, etc.
Prayer & Discipleship - Include preachers, seminar presenters, counselors, prayer teams, etc.
Administration - Include performance of clerical duties such note taking, event reports, communication distribute, file management, reservations, itineraries, etc.
Finance / Development - Include budgets and finance, fundraising, grant writing, organizational pivoting, etc.
Other – What areas of expertise could you add to the organization

What areas of talent / expertise can you add to IMPAC ?*

3. What questions, concerns, or fears do you have about international travels?*

4. Please share your personal story about how you became a Christian. (Write it as if you were sharing it with someone over a cup of coffee). Aim to be able to share your faith story within 3-5 minutes.*

Commitment to Missions

I understand that by becoming part of IMPAC, I will be representing the team, but most importantly Jesus Christ, during each mission trip. I am therefore committing myself to a lifestyle that honors Christ in all aspects now and on all participated trips. I understand that my involvement accompanies a preparation process for ministry and evangelism. I will commit myself to attending mission team meetings and fulfilling my responsibilities for team ministry preparations. I also understand that when I make deposit for a trip, I am committing to go, and assume full responsibility of the financial costs for me to participate (costs will vary according to trips/arrangements). If at some point a team member decide not to go on a trip, IMPAC will issue a refund or release from financial obligation, if the organization is able to do so. Many trip costs are upfront and nonrefundable or only partially refundable. Team members are responsible for such costs, even if they do not attend the trip. IMPAC reserves the right to make the final decision on whether or not a team member is able to participate on missions’ trips.

Team Member Signature:*

Date*

Are you younger than 18 years old?*

Yes
No

FOR TEAM MEMBERS UNDER 18 YEARS

This section is to be completed by a parent of child/children younger than 18 years of age.
I have read over the short-term mission trip information and I understand the commitment my child must make to participate in IMPAC trips and the associated costs they must personally raise to travel on respective trips. I will encourage and support my child/children as they raise funds and prepare for the trip.

Parent(s)/Guardian(s):*

Date*

Dear IMPAC Team Member,
Kindly complete our information/commitment to missions form.

CONTACT IN CASE OF EMERGENCY

Commitment to Missions

FOR TEAM MEMBERS UNDER 18 YEARS

Quick Links

Team Documents

DATA/COMMITMENT FORM

DATA/COMMITMENT FORM

Dear IMPAC Team Member, Kindly complete our information/commitment to missions form.

CONTACT IN CASE OF EMERGENCY

Commitment to Missions

FOR TEAM MEMBERS UNDER 18 YEARS

Quick Links

Team Documents

Dear IMPAC Team Member,
Kindly complete our information/commitment to missions form.