Hands of Compassion International provides information about upcoming short-term mission trips in 2011-2012. The document includes an application packet with details on the organization's mission and values, instructions for applying, frequently asked questions, upcoming trip calendars and locations, and an application form. The application form requests personal and contact information, medical information, a liability waiver, experience details, and a pastoral reference.

1. Short Term Mission
Trip Information &
Application Packet
2011-2012
Contents
…repentance and forgiveness of sins
About HOCI | page 2
should be proclaimed in his name to
all nations…
How to Apply | page 3
Luke 24:47
Frequently Asked Questions | page 4
2011 Calendar and Locations | page 5
Form 1012A Application | page 7
Whom shall I send?
And I heard a voice from the Lord
saying, “Whom shall I send, and who
will go for us? Then, I said, “Here am
I! Send me”.
Isaiah 6-8
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2. About Hands of Compassion International
Our Mission
Hands of Compassion International, LLC exists to assume the God given responsibility as
being the hands of Jesus Christ through facilitating and managing short term missions and
building communities of compassion going into the entire world with the gift of Compassion
and proclaim the Good news of Him who gives eternal life while making disciples of people
of all nations.
A. Short Term Mission Trips: Through short term missions, we will strive to bring
awareness to the local church in the United States of the conditions around the world
hoping to rise folks up from our comfort zone to go on mission for God. We feel that
this experience will personally change the hearts and attitudes of Christians
everywhere, thus causing them to worship our living Savior and commit to being
completely sold out to Him.
B. Orphan Care: As churches and Christians get on the mission field, opportunities will
be available and taken advantage of through the ministry of Hands of Compassion
International to get involved in the world wide orphan epidemic. We feel the Lord’s
compassion for children is of utmost importance, and this ministry will get on board
with other agencies and/or take sole responsibility, if available, to care for these
beautiful children through sponsorship programs, construction of orphanage buildings,
Christian education for the kids, food, clothes, disaster relief, etc.
C. Communities of Compassion: We desire partner with national pastor’s and leaders to
build communities in the most desolate are poverty stricken areas of the world for the
purpose of promoting education and providing much needed food, health care with the
intent that the entire city or village someday be self-supporting and successfully
operating from within. These communities may consist of children’s homes, medical
centers, schools, churches, etc.
Our Values
Faith in Jesus Christ as the only way to eternal salvation
The Bible in its entirety as the only true revelation of God
Personal devotion to Christ in all areas of our lives
Faithfulness to spread the love of Christ to all people
Openness to the work of the Holy Spirit in our lives
Respect for all people in all our actions and attitudes
Trust in God to accomplish His divine purposes through this ministry.
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3. How to Apply
To Apply by Mail:
Read this information/application packet.
Complete all forms and send it with your non-
refundable/non-transferable deposit (or full payment) to:
Hands of Compassion International
P. O. Box 2004
Appomattox, VA 24522
Attn: Chris Tolley
Note: Make Checks payable to Hands of Compassion International
PLEASE NOTE THAT DEPOSITS ARE NON-REFUNDABLE AND NON-
TRANSFERABLE TO OTHER MISSION TEAM MEMBERS
To Apply Online:
Go to www.handsofcompassionintl.org . Follow the link to
apply and down load information/application packet. Fill
out application and mail to the above address.
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4. Frequently Asked Questions
When should I apply?
We recommend applying as early as possible. Registration is open year round.
Applications are accepted until mission trip openings are filled, or up to 1 month before
schedule departure date. See schedule for application due dates for each trip.
How much does it cost?
The cost will vary with trip destination & air fare. (see page 5) We require a deposit,
which will allow the ministry to purchase plane tickets far enough in advance for best
price. Example of cost breakdown for a one week trip to Costa Rica or Guatemala:
Room & Board - $400-$500
Plane Tickets - $600-800
Airport Tax - $3.00-$30.00 (varies) (paid by applicant)
• Participants staying more than eight days will be charged and additional
$35.00 per day for room and board.
• See additional pricing for other trips on page 5
Is transportation provided?
All airline transportation will be provided as well as on the ground while on the mission
trip. Transportation to and from the airport will be set-up and provided for by the
partnering group or Church.
Can I bring my children with me?
We encourage families to bring all their family members, but we will discourage any
children under the age of 10 years old to participate. All children under the age of 15
shall be accompanied by a parent or legal guardian. The mission trips are usually in
rough terrain and great distances from any major emergency medical needs.
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5. Hands of Compassion International
Short Term Mission Trips
2011-2012 Mission Trip Calendar and Locations
2011-2012 Approx. Deposits 2nd Paymt Final Maxim
Location /Due Date /Due Date Paymt/ um # of Ministry Types
Dates Cost
Due people
Costa Rica June 13-23, $1,200 $500/ $400/ $300/ 35 Soccer Sports Outreach
– LCA 2011 Mar 3, April 7, May 5, Tournament, Evangelism,
Sports 2011 2011 2011 Cross
Mission country, track
Trip
Guatemala July 2-9, $ 1,200 $500/ $400/ $300.00/ 20 Village Evangelism,
(Xejeyup) 2011 February April 17, June 19, Ministry Small Group
WORK 20, 2011 2011 2011 Discipleship
AND Construction &
WITNESS Children
Ministry
Romania August 20- $2,400 $800/ $800/ $800/ 15 Village Evangelism,
30,2011 May 15, July 1, August 1, Ministry Construction &
2011 2011 2011 Children
Ministry
Guatemala January 7- $ 1,300 $500/ $500/ $400.00/ 20 Village Evangelism,
(Xejeyup) 14, 2012 August 1, September November Ministry Small Group
WORK 2011 15, 2011 15, 2011 Discipleship
AND Construction &
WITNESS Children
Ministry
Haiti January $1,200- $500/ $400/ $300.00/ 12 Hope for Construction
(TBD) (exact date $1,500 September October 1, December Haiti and Church
TBD) 1, 2011 2011 1, 2011 Disaster Planting,
Relief Training Pastors
Costa Rica March $ 1,300 $500/ $500/ $300/ 35 Youth- Evangelism,
LCA Youth 2012(Spring November January 1, March 1, Family Construction &
Camp Break) 1, 2010 2011 2011 Mission Trip Children
Mission Ministry
Trip
Uganda August $2,400 $800/ $800/ $800/ 15 Village Evangelism,
2012(exact April 1, June 1, August 1, Ministry Construction &
date TBD) 2012 2012 2012 Children
Ministry
STMT General Requirements:
• All applications will be due five (5) months prior to mission trip date.
• All applications subject to acceptance by the HOCI short term mission board.
• For more information go to the website at www.handsofcompassionintl.org or contact Chris Tolley
at ctolley@handsofcompassionintl.org.
• Make all checks payable to Hands of Compassion International, Inc. and mail to Hands of
Compassion, P. O. 2004, Appomattox, VA 24522
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6. THIS PAGE INTENTIONALLY
LEFT BLANK
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7. For Internal Use ONLY
Hands of Compassion International Passport Copies ______
Pastoral Ref. ______
P.. O.. Box 2004
P O Box 2004 Deposit Paid ______
Appomattttox,, VA 24522
Appoma ox VA 24522 Ministry Team ______
Phone ((434)) 248--5236
Phone 434 248 5236 Other ______
Confidential Short-Term Missionary Application Form 1012A
Applying for a trip to: ________________________ Group/Church: ___________________________________
Name: Dates of Trip: ____________________________________
Mr. Mrs. Miss __________________________________________________________________________________
Last First MI
Present Address (street, city, and zip):
_____________________________________________________________________________________________
Current Phone Numbers: Home: ( ) ____________________ Work: ( )_______________________
Others: ( ) ___________________ ( ) _____________ E-Mail: ________________________________
Occupation: __________________________________________________
Best time to reach you: ________________________________________
Name and address of person to be notified in case of an emergency (this person will also be listed
as your beneficiary on HOCI’s insurance policy):
Name: ______________________________________ Phone: __________________________________
Address:
_____________________________________________________________________________
Street number/name City State Zip
Relationship: _________________________________________________________________________
Date of Birth: ______-- _______-- ________Adult T-Shirt size: (circle one) S M L XL XXL XXXL
Passport Number: _________________________ Issued from: ________________________________
Passport Expiration Date: ____________________________
Please type or print your legal name as it is written on your passport:
Note:
Please provide 2x photocopies of your passport and attach to this application. If you are in the process of
applying for a passport, please attach a current photo of yourself.
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8. Home Church Information
Church Name: ________________________________________________________________________
Address: ____________________________________________________________________________
____________________________________________________________________________________
City State Zip
Telephone#: _______________________________ Pastor’s Name: ____________________________
How long have you attended? _____________
Medical Release
(For Group Trips through Hands of Compassion International and any/all of its sponsoring organizations.)
Name of Participant __________________________________________________________
First Middle Last
Street Address ______________________________________________________________
City, State & ZIP ____________________________________________________________
Date of Birth ____________________________________ Phone # ____________________
Emergency Contact Person ________________________ Phone #____________________
Name of Insurance Company _______________________ Policy # ___________________
Please list any medical Allergies you have:
__________________________________________________________________________
__________________________________________________________________________
Please list any medications being taken:
__________________________________________________________________________
__________________________________________________________________________
Please list any medical problems, or other pertinent information:
__________________________________________________________________________
__________________________________________________________________________
I understand that, in the event medical treatment is required, every effort will be made to notify the
emergency contact person. However, if they cannot be reached, I give my permission to Hands of
Compassion International and any/all of its sponsoring organizations or an adult sponsor to secure the
services of a licensed physician to provide the care necessary, including, anesthesia, for my well being.
Signed _______________________________________________Date ________________________
If applicant is under the age of 18 at the time of travel, a parent or legal guardian’s signature is required above.
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9. WAIVER OF LIABILITY STATEMENT
I, release Hands of Compassion International, and any/all of its sponsoring organizations, together
with the adults in charge, from any and all claims resulting from injury or damage that may be
sustained by myself/my child while participating in the activities of Hands of Compassion
International and any/all of its sponsoring organizations.
Name of Participant __________________________________________________________
Activity (Mission Work) _______________________________________________________
Dates of Activity ______________________Through _______________________________
Signed _________________________________________Date _______________________
(If applicant will be under 18 years old at time of travel, a parent or legal guardian’s signature is required.)
During this trip you may be required to do some physical activity such as walking, hiking,
etc. on some mountainous trails.
Do you feel you will be capable of doing this activity? _____ Yes _____ No. Explain:
_______________________________________________________________________________
_______________________________________________________________________________
Do you have any physical condition that may limit your ability to perform the ministry for
which you have applied? _____ Yes ______ No. If so, explain:
_______________________________________________________________________________
_______________________________________________________________________________
If you require any medications or other personal items such as contact lens solution, special medicines,
etc. you must bring them with you on the mission trip.
I understand that the medication I require may not be available in the country deployed to.
Your initials here _________.
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10. Experience Information (for first time participants ONLY)
Have you ever participated in a mission trip outside of the United States before? ___Yes ___No.
If so, when & where?
_____________________________________________________________________________________
_____________________________________________________________________________________
Please indicate which of the following ministries you have enjoyed doing or which may interest you:
____ Evangelism Ministry
Experience: ___________________________________________________________________________
____ Medical Care Ministry
Experience: ___________________________________________________________________________
____ Dental Care Ministry
Experience: ___________________________________________________________________________
____ Children’s Care Ministry
Experience: ___________________________________________________________________________
____ Construction Ministry
Experience: ___________________________________________________________________________
____ Vacation Bible School (VBS) Ministry
Experience: ___________________________________________________________________________
____ Clown Ministry
Experience: ___________________________________________________________________________
Special Skills (check all that apply)
____ Administrative ____ Engineering
____ Art Work ____ Electrical/ Wiring
____ Athletic/Sports ____ Journalism
____ Computer (specify) _______________ ____ Carpentry
____ Medical (specify) _________________ ____ Plumbing
____ Dental (specify) __________________ ____ Photography
____ Musical (specify) _________________
____ Other (specify)
__________________________________________________________________________________
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11. Experience Information (cont.)
What languages do you speak other than English? _________________________________________
What are the gifts the Lord has blessed you with? (Explain)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Are you afraid to fly in an airplane? __________ Not at all ________ A little _______Yes
Do you understand that even though this will be one on of the most memorable experiences of
your life, that it is NOT a vacation? _______ Yes _______ No.
Fiinanciiall IInfformattiion
F nanc a n orma on
Note: A deposit is required for advance airfare purchase. This is for the purpose of saving on the
cost of the trip. Therefore, the deposit is non-refundable. Please return your deposit to your
respective church mission trip coordinator. Attention: Due to the volatility in the airline ticket
prices, fuel costs and other unforeseen factors, the above pricing is subject to change.
The required deposit shall be determined by the cost of the trip. The rate is as follows (unless otherwise
indicated:
• 30% due at application approval
• 60% due 3 months from departure date
• Paid in full 1 month from departure date
I have answered the above information to the best of my knowledge with truth and a clear conscience. I
am aware that if accepted, I am responsible to raise whatever financial support is necessary to fund this
short term mission trip. I further agree to allow Hands of Compassion International to use my picture in
ministry publications for the sole purpose of communicating the work that God is doing among the people I
am applying to minister to.
Signature: ______________________________________________________ Date: ________________
(If applicant will be under 18 years old at time of travel, a parent or legal guardian’s signature is required.)
Full Name (Please Print): _______________________________________________________________
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12. Pastoral Reference/Personal Testimony (for first time participants
ONLY)
If this is your first mission trip with Hands of Compassion International, please provide a short
personal written testimony below giving us specific information about your relationship with the
Lord and your calling to go on this mission trip.
For pastoral references only: Are you comfortable sending this individual out as a representative of your
church? Use additional paper if necessary.
_____________________________________________________________________________________
_____________________________________________________________________________________
Pastoral Signature: _______________________________________ Date: _________________________
Name (Print): ____________________________________________ Position/Title: __________________
Address: _____________________________________________________________________________
Phone: ( ) _________________________ Work Phone: ( ) _________________________________
Organization or church to which you belong: _________________________________________________
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13. Release Form 1012B
I release Hands of Compassion International, or any/all sponsoring organizations from all actions,
damages, or personal injuries which may occur. I understand in the event of a minor injury I may
receive first aid treatment. If my personal judgment is hindered due to an emergency, injury, or
illness I authorize the mission trip leaders to take whatever action is necessary for my personal
safety and health.
I give my consent that photographs, interviews, and audio/video recordings during the course of
the mission trip may be used by Hands of Compassion International for training, promotion, and
fundraising.
I authorize Hands of Compassion International to contact all references listed herein to verify all
information provided and to obtain any and all information related to my character. I release all
references from any liability for information provided in good faith.
Signature: ______________________________________________________ Date: ________________
(If applicant will be under 18 years old at time of travel, a parent or legal guardian’s signature is required.)
Full Name (Please Print): _______________________________________________________________
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