Brazil

December 6th, 2015

Thank you for your faithful prayers on behalf of missionary colleague Paul Crothers. Praise God that after a two-year process, he has received his visa to work and serve in Brazil. Pray for him and his family as he prepares to leave for Brazil in January.

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Short-Term Team Participant Form
PARTICIPANT INFORMATION (completed by participant or authorized guardian)
Please indicate the organization or team name of the team you will be participating with:*
Participant Name (as it appears on passport)*
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Address*
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Date of Birth*
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Do you have any physical conditions that might require special accommodations or on this trip? If yes, please explain*
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Are you currently taking any prescription medications? If yes, please list below.*
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Prescription medications list
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EMERGENCY CONTACT
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South America Mission is privileged to carry out Christian ministry that results in “redeemed lives, beautiful churches, and transformed communities.” Towards that end, we are continually developing a staff team of competence, character, and commitment to serving others. We desire to have a team that joyfully works together with passion for our mission. Thank you for your interest in being part of our team and taking this first step of exploration with South America Mission.
BASIC INFORMATION
Full Legal Name*
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WORK INTEREST
Role(s) Interested In*
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Have you read, and do you agree with Our Beliefs?*

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EDUCATION
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3. College, University or Training Program Name
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Graduated?

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EMPLOYMENT HISTORY
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Employer Name
Job Title
Start Date
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End Date
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Responsibilities / Achievements
Reason for leaving
Supervisor’s Name & Title
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Employer Name
Job Title
Start Date
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End Date
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Responsibilities / Achievements
Reason for leaving
Supervisor’s Name & Title
May we contact him/her?
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Work Phone
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LANGUAGES
Please describe any languages you speak and your level of fluency.
FAITH AND PASSIONS
Current Church You Attend*
City, State*
How long have you attended this church?*
What is / has been your church involvement?*
Provide us with the name and contact information of a pastor or spiritual mentor who can speak to your Christian character.*
This section is reserved for you to speak into your faith, passions, and additional skills that you would like to share.
RESUME & COVER LETTER
Please upload a current resume (PDF).*
Max. file size: 50 MB.
Please upload a cover letter (PDF).*
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APPLICANT INFORMATION
Do you identify as a protected veteran?
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Have you ever been convicted of a felony?
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If yes, please kindly explain:
Have you ever been asked to resign or been terminated from a previous job?
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Have you ever been convicted of child abuse, sexual abuse, or any crime involving harm to a minor?
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If yes, please kindly explain:
South America Mission is both an equal opportunity employer and a faith-based religious organization. We conduct hiring without regard to race, color, ancestry, national origin, citizenship, age, sex, marital status, parental status, membership in any labor organization, political ideology, or disability of an otherwise qualified individual. The status of South America Mission as an Equal Opportunity Employer does not prevent the organization from hiring personnel based on their religious beliefs so that all personnel share the same religious commitment. Pursuant to the Civil Rights Act of 1964, Section 702 (42 U.S.C. [§] 2000e[- ]1(a)), South America Mission has the right to hire only candidates who whole-heartedly and without reservation agree with South America Mission's Beliefs.
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I authorize South America Mission to seek information from the references sources and employers listed on this application.*
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Brazil

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Short-Term Team Participant Form

PARTICIPANT INFORMATION (completed by participant or authorized guardian)

EMERGENCY CONTACT

PHOTO RELEASE

BASIC INFORMATION

WORK INTEREST

EDUCATION

EMPLOYMENT HISTORY

LANGUAGES

FAITH AND PASSIONS

RESUME & COVER LETTER

APPLICANT INFORMATION

SIGNATURE