Casa Bernabé Orphanage Team Orientation 2014 · administers missionaries and funding for Casa Bernabe (seen throughout here as “FOCE”). Sincerely, Kalee Barnes Team Coordinator

Casa Bernabé Orphanage

Team Orientation 2014

Welcome!

Thank you for your interest in coming to Guatemala and serving here at Casa Bernabé

Orphanage! We are so excited to have you come and be a part of all that God is doing here

for these precious children.

At Casa Bernabé, which means “house of comfort”, children find acceptance, stability and

healing in the love of Jesus. Casa Bernabé is a beautiful 13-acre campus near Guatemala City

and it is home to more than 150 children. All of the children come out of difficult living situa-

tions. Some are orphans, others have been abandoned, others abused. Each child belongs to a

loving, nurturing family made up of house parents and their own children. Together they live in

individual houses large enough for 15-20 children of the same age group. As a family unit, they

eat, pray, play and work together.

Everyone at Casa Bernabé belongs to a larger, international family. Guatemalans, missionaries

and people from different languages and backgrounds work together to make this a place of

hope and healing. Some live at Casa Bernabé full time or short term, while others support the

ministry through prayers and giving. You and your team are also a part of this family. When

you come to serve at Casa Bernabé, you are our guests. But we also hope that you feel like a

part of our family.

The information contained in this “Team Orientation” Packet will give you an idea of what is

expected and required to come serve here at Casa Bernabé. Please take time to thoroughly

read the information and go through it with each member of your team and make as many

copies of it as you need. If you have any questions at all with any of the information in this

packet, please feel free to contact me. I am excited that you are interested in serving here

and look forward to talking with you, should you need anything.

Friends of Children Everywhere, Inc., is the stateside, 501(C)(3), non-profit organization that

administers missionaries and funding for Casa Bernabe (seen throughout here as “FOCE”).

Sincerely,

Kalee Barnes

Team Coordinator

Friends of Children Everywhere (FOCE)

P.O. Box 6904

Kokomo, IN 46904-6904

[email protected]

Casa Bernabé 1 03/2014

CONTENTS

TEAM LEADER GUIDELINES AND INFORMATION 2

ENTRY/DEPARTURE

4

GENERAL HEALTH AND SAFETY

5

DRESS REQUIREMENTS

7

HOSPITALITY

8

KITCHEN & DINING ROOM

9

GENERAL GUIDELINES AND INFORMATION

10

BEHAVIOR GUIDELINES WITH THE CHILDREN

12

CONTACT INFORMATION

14

TOOL USE

15

BACKGROUND CLEARANCE POLICY

16

VISITOR AGREEMENT FORM

17

EMERGENCY CONTACT FORM

18

SAMPLE MISSION TRIP APPLICATION

19


TEAM LEADER GUIDELINES AND INFORMATION

♦ When forming a team:

1. PRAY...a lot.

2. Have each team member fill out an application. (A sample application is included on

page 20 and following. Feel free to copy the application and use for your team.)

3. Make sure each team member, 18 years and older, has a background check

completed before arriving, a REQUIREMENT by FOCE and Casa Bernabé.

4. Email a total of how many males and how many females are coming on your team to

Kalee Barnes at: [email protected].

5. Go through the information in this “Team Orientation” packet with each team

member prior to your trip. The Team Leader will be held responsible for their team

knowing ALL contained herein.

♦ Two months before your trip:

1. Email the FINAL total of how many males and how many females are coming on

your team to Kalee Barnes at [email protected]. This number CANNOT change unless

it is less than the original total.

2. Mail any project money you will be using for work projects while at Casa Bernabé. This

will enable us to purchase your supplies in advance so they are ready for your team, and

allow for the often 2-month-long exchange of currency.

3. Mail check for room and board (and projects) to:

Friends of Children Everywhere (FOCE)

P.O. Box 6904

Kokomo, IN 46904-6904

♦ Have in your possession when you arrive:

1. Emergency Contact forms for each team member.

2. Visitor Agreement forms for each team member.

3. Cash for bus transportation to Antigua ($200 USD) and any other trips you are planning.

4. “In-Kind” giving receipts/list purchased, donated prior to trip.

5.. Cleared Police Department Background Check for each person over 18. You must

be able to show proof that each team member is cleared. If there is any concern

about the background of any one on your team, please contact [email protected] asap.

♦ While in Guatemala:

1. Be flexible! This is Guatemala. All the convenience and easy availability of goods

and services that we are used to in North America is simply not available here.


Rather than allowing the frustrations to rule, be willing to roll with the certain

changes and experience the blessing of a different pace and a different way of life

that is focused more on the relationship than productivity. Food is different, dorms

lack privacy, and attitudes towards dress and activities are not what we are

accustomed to. It is helpful for teams to come with a mindset of adjusting to the

culture here, not forcing the Guatemalans to adjust to our expectations.

2. Plan a daily devotional time with your team. Have a time each day to meet with

your team for prayer, testimony, etc. as well as time for the team to communicate

plans and problems.

3. Prepare for a lack of communication/entertainment. We do have wifi available,

but it is not always reliable. We can allow a team message to be sent to your church

(for instance) so they know that you arrived safely. Exceptions will obviously be

made for emergency situations. Please do not use video apps (Skype, FaceTime, etc.)

that consume bandwidth and prevent others from basic communication.


ENTRY/DEPARTURE

Flight info should be sent to [email protected] ASAP to allow us to plan transportation. At

minimum 30 days in advance is needed.

While in Guatemala, it is very important that you carry your Passport or a copy of your Passport

at all times when you are not at Casa Bernabé. Keep it in a safe place, preferably not in a

backpack or back pocket. Backpacks can be slit from behind without you knowing it and

pickpockets know how to be sneaky.

The Guatemalan police often do random checks. It will be a lot easier, faster, and safer for you

if you have your passport with you so you can show it to them and move on. If you will be

driving while you are in Guatemala, you must carry your actual passport, not just the copy.

Please keep your airplane ticket in a safe place.

Do not exchange currency at the airport. You will be ripped off with the poor exchange rate. Wait til

you get to a local bank (time will be made for that usually during an outing).

It is required that we keep records of all in-kind giving. This includes all money and gifts

brought down with you or purchased in Guatemala and given to Casa Bernabé staff and

children. Please keep accurate records of all purchases made, gifts and donations brought with

you and bought and given during your stay. If anything was purchased in Guatemala, you must

have the actual receipt. If you brought items with you, you will need to provide an estimate.

Items bought while in Guatemala are not tax-deductible. You will need to turn all receipts in to

the Casa Bernabé office before leaving. If for some reason you need to keep your receipts,

please make an accurate list of all items purchased and the amount spent and turn that in.

You will need to pre-send/bring money for any projects you want to help with during your stay

here. The orphanage has no funds for you. If you wish to paint a house, for example, you will

be responsible for purchasing paint and supplies.

You will need spending money and funds for your trip to Antigua. If your group is small enough

to use the van (11 adults or less), the cost will be $75 USD to pay the driver and for fuel. For

larger groups, you will need $200 to pay the expense of the bus, including the driver and fuel

and vehicle wear and tear. Each person will also need personal spending money for trinkets.

Please be very considerate of the driver – provide him food for each meal time while gone..

Your room and board fee of $25 per person, per night, includes three meals a day,

transportation to and from the airport, utilities, purified water, paper products and cleaning

supplies. This room and board fee is required 2 months before your arrival. (currency

exchange can take 2 months or longer).


GENERAL HEALTH AND SAFETY

While in Guatemala, you will need to wash your hands often with soap and water, especially

before meals to diminish the risk of getting sick. Bring hand sanitizer for dorms/dining room.

Also, feel free to bring sanitary wipes for your own dishware for just before eating, to

minimize contamination.

Water and Drinks

• Avoid drinking tap water (even though it is tested as super clean).

• Drink only clean/bottled water kept in the dining room and always available for you. This is

the only water that should be used for drinking and for brushing your teeth.

• It is highly recommended that each person brings their own personal water bottle to

use. Clean your water bottle at least every three days.

Food

Remember: boil it, cook it, peel it, or forget it!

• Eat only foods that have been thoroughly cooked.

• Eat only fruits and vegetables that you know have been properly treated or that you

have peeled yourself with clean hands.

• Do not eat foods that have been purchased from a street vendor. Ever.

• All food prepared in the Casa Bernabé kitchen is safe and prepared in a healthy way.

• The teams must wash their own dishes immediately after meals (See “Kitchen and Dining Room” below)

• A trip to Wal-Mart can be arranged, if necessary. Wal-Mart is about 20 minutes from

Casa Bernabé. If you need to get some items we will try to arrange a trip for you.

Vehicles are not always available so please be patient. If we cannot get you there we

will try and pick up the items for you. You will need to pay for the cost of fuel for any

such trips.

Safety/Hygiene

• Please do not handle animals. Most of them have not been vaccinated for rabies and

other diseases.

• Wear insect repellent and keep your skin covered at all times. Even though we are out

of the malaria zone, the insects still carry other diseases. It is a good idea to spray

yourself and your bedding before retiring for the night.

• Be aware of what you have touched before entering the dining room or kitchen to

prevent contamination to others (sewage, dirty tools, kid with a cold, etc.)

• Keep your feet clean and do not go barefoot – even in the shower (bring flip-flops).

This helps to avoid fungal and parasitic infections.

• Always wear latex gloves if you encounter blood.

• Do not walk off campus alone. It is unsafe. Only groups of four or more are

recommended to walk off the campus during daylight, with 2 men in each group.


• Do not walk off or around campus after dark. Please stay on the concrete by the Main

building after 6pm.

Children are often in bed as early as 7:00pm. Please refrain from any noise or loud

talking after 7:00pm.

Be inside by 9pm. The doors are locked at this time.

Always let someone know where you are going. Please be careful and alert. Even if you

choose to go on a hike or a walk here on campus, please let someone know where you

are going and always go in groups of two or more.

• Do not leave valuables in sight. Leaving valuables out, such as cameras, purses, phones, money,

or jewelry is an invitation for theft. It’s best to keep these locked in a bag when out

of the dorm.

• Please bring any medications you might possibly need with you. Bring an EXTRA week supply of

meds than you need, in case a flight is canceled or we have a volcanic ‘issue”.

� Suggestions include:

� antacids liquid and tablets (Tums, Rolaids, Maalox, etc.)

� diarrhea medication (Imodium, Pepto-Bismol, etc.)

� cough/cold medications

� pain reliever (Tylenol, Advil, etc.)

� antibiotic cream/ointment

� bandages

� You might also consider an antibiotic, Cipro is usually recommended for stomach

problems such as parasites.

� Lice treatment is also a good idea

� These can all be donated to Casa Bernabé if you do not use all of them.


DRESS REQUIREMENTS

Please dress modestly and follow these guidelines closely. They are strictly enforced by Casa

Bernabé and are the sole responsibility of the Team Leader:

Girls and Women:

• No short shorts: Shorts, skirts and dresses must be at least knee length.

• Pants are not to be too tight and if they are hip huggers, please wear a LONGER

shirt.

• Leggings are NOT pants. They are only to be worn under dresses/skirts.

• No bellies or backs showing even when you raise your arms.

• No low cut or transparent shirts or sweaters.

• Sleeveless tops are acceptable but no thin strap cami tops.

• Single piercing earrings only. Please remove all other body piercing jewelry.

• Keep tattoos covered at all times.

• Dress nicely for church on Sunday (office casual is fine).

Boys and Men:

• No baggy pants showing underwear or boxers.

• No t-shirts with suggestive messages.

• No body piercing jewelry of any kind, including earrings.

• Keep tattoos covered at all times.

• Dress nicely for church on Sunday (office casual is fine).

These requests are not meant to be a judgment on anybody. They are the guidelines we feel

that God had given us for this ministry and we only ask that you help us to uphold them and

not confuse the children we are ministering to. When our children see piercings or tattoos

that they find intriguing, they have, on occasion, attempted to duplicate the effect for

themselves. Without the proper tools, sterilization techniques or knowledge to perform the

acts safely, the children are at risk of infections and worse.


HOSPITALITY

• Do not put toilet paper in the toilets!

� There are trashcans in each bathroom stall with trash bags for your toilet paper.

� The septic system in Guatemala is not equipped to handle paper of any kind.

� Putting toilet paper in the toilets will clog them and creates more work for everyone.

� If you do drop toilet paper in the toilet, it is your responsibility to get it out before

flushing.

• Keep your dorms and bathrooms clean. This is your responsibility. Cleaning supplies

are available upon request. They should be cleaned by your team once daily for

health purposes.

• Do not use our towels to dry the floor. If the floor gets wet, please ask Berta (in La

Fortaleza) for a floor cloth. Please use towels for your personal shower ONLY, not for

cleaning up. These bath towels need to be maintained in good condition for use by

future teams and visitors.

• Empty your own trash from your dorms and bathrooms daily by taking your trash bags

out to the trash cage by the parking lot.

• Let us know immediately if something breaks in your room (including bunk beds,

mirrors, pipes, windows, or ceiling tiles).

• There is a washing machine available for team use Monday thru Saturday upon request.

Please use the clothes lines whenever possible! There is one dryer for teams to use if

absolutely necessary, please follow the same rules as for the washer.

• Bring your own laundry detergent with you.

• Please do not put your luggage on the extra beds. Keep them available for other

individuals that might join you.


KITCHEN & DINING ROOM

� You can expect to eat lots of rice, black beans, fruits and vegetables and very little meat.

� The portions are much smaller and the food is not as filling as what you are used to in

the U.S. The kitchen prepares one serving for each person at Casa Bernabé for each

meal and work with very limited funds, depending totally on donations to operate

and purchase food.

� Be considerate of your fellow team members, as well as any other teams that might

be there at the same time, when taking your portion.

� It is recommended that each person bring nutritious snacks to supplement their meals.

� There is a microwave and toaster available for your use in the team dining room.

� If you tend to have a sensitive stomach you may want to consider taking Pepto-Bismol

liquid or tablets before meals as it coats your stomach as well as provides protection

against bacteria.

� Keep all tables and counters clean and lids on jars, as open foods and jars invite insect

manifestation which is unpleasant and unhealthy for everyone. Please be

considerate to others and to the kitchen staff in these matters.

Please be on time for meals! Anticipate meal times as follows:

Monday-Friday: Saturday-Sunday:

Breakfast – 7:00am Breakfast – 8:00am

Lunch – 1:00pm Lunch – 1:00pm

Dinner – 6:00pm Dinner – 6:00pm

A bell will ring announcing meal times.

• Each team is responsible to wash, dry and put away their own dishes.

• The kitchen staff is very aware of sanitary methods. You, too, should be very diligent in using

the green soap available for dishwashing, as it is anti-bacterial. Use a clean cloth to dry them and

place them back in dining room cabinets. Train your team, especially those that don’t normally

wash dishes elsewhere. You will want 100% compliance on this.

• For those that desire to be extra safe, bring sanitized wipes for personally wiping your plate and

silverware, just before eating. This is the best step of defense.

• Please do not leave dirty dishes for the Casa Bernabé kitchen crew to clean.

• There is no hot water available in the kitchen for washing dishes.

• Please wash your dishes in the small sink in the kitchen.

• Soap and towels are available in the kitchen.

• Make sure the dishes are properly dried to avoid sickness.

• Please do not take any dishes/utensils/cups out of the dining room.


GENERAL GUIDELINES AND INFORMATION

• Remember that you are missionaries – you represent the Lord! Always act and speak

in a manner that honors Him and shows respect for the children, workers, guests and

other members of your team, as we live in community here.

• Watch your language. Some words that are acceptable at home may be very offensive

here. Likewise, some secular films, TV shows, music, cartoon characters, etc.

may be considered inappropriate here. Please remember to have uplifting conversations

that point the children towards Christ rather than worldly interests.

• Most of the children understand English, so be careful when talking in their presences.

They like to pretend that they don’t know what you are saying to one another, but they

often understand much of what is going on. So be very cautious about what you say.

• Smoking or use of any tobacco product is not permitted in any of the buildings or in the

presences or sight of any children.

• You are not allowed to consume alcohol or illegally use drugs on or off campus during

your stay at Casa Bernabé.

• Do not bring, purchase or use fireworks or sparklers.

• Only Christian music is allowed to be played at Casa Bernabé. All music and

videos must be approved first by house parents to be played in the homes.

� Please be considerate of others when listening to extreme/alternative styles of

Christian music.

� The children of Casa Bernabé are not allowed to have any electronic items including

cell phones, iPods, any type musical devices, cameras , computers/lap tops, etc.

Please do not give, loan or let them use any.

• Do not play any of the musical instruments without specific permission.

• It is strictly forbidden to establish or continue any kind of romantic relationship while at

Casa Bernabé. This includes with members of staff, older children, and with team members.

� If you are currently in a romantic relationship with someone, please put it on hold

until returning home. This does not apply to married couples. This is very

important because of some of the circumstances the children have been rescued

from.

• We do not recommend lending your belongings to the children or the staff. If you do choose to

lend something to someone, we are not responsible if it is broken, lost, or stolen.

• The houses are private homes. Please knock before going in and please do not wander

through them without permission. You may ask, “Con permiso”. If you are welcome

to come in, they will respond, “Adelante”.

• The kitchen is off limits except for kitchen helpers and with special permission (i.e.

K.P. duty). Please knock before going in and please do not wander through them

without permission.


• Please do not complain about anything to, or in the hearing of, the workers and chil-

dren.

� Please do not agree with or discuss complaints or negative comments from the chil-

dren or workers.

� If you have comment, concern or complaint, please inform your team leader

(away from the hearing of others). Your team leader will discuss the issue with Sara

or Edgar Salguero. We value your comments, but would appreciate it if you handled

them in the above manner, both for the well being of the children and to avoid

unnecessary hurt or offence for our workers.

• Please NEVER associate any photos of the children or references to Casa Bernabé on

Facebook, MySpace, Twitter, church websites or any other form of communication for

the protection of the children here.

• Please be considerate of our children and staff and keep quiet between 7:00pm and 6:00am. In

the main building and houses there are families with small children that go to bed early, and often

rise at 4:30am. Conversations can be heard wherever you are, including the dorm bathrooms!

� Please be considerate of others and be continually conscious of this rule. If you

choose to be up past 7pm, please do so in the dining room or outside –

whispering.

• From time to time, chicken pox spreads from child to child. Please just be aware of this.

• If you are on a special diet, please let us know (hopefully BEFORE you commit to com-

ing). We will try our hardest to accommodate your diet, but cannot promise we will be

able to do so perfectly.


BEHAVIOR GUIDELINES WITH THE CHILDREN

Because of the backgrounds of many of the children here at Casa Bernabé, we have a few basic

rules you MUST follow when interacting with the children. This is not only for the protection of

the children, but also for the protection of Casa Bernabé, and for you.

You may not fully understand the following rules and guidelines or you may feel that they are

unnecessarily strict. Please understand that we don’t enjoy making rules and guidelines – each

one has a good reason and most have been introduced in response to a real situation.

• Due to the manner in which we receive children, you may see police cars arrive and po-

licemen enter the main building. Do not worry; it is official business. Please do not

stand around and watch or ask questions about the child they are bringing. We want to

preserve the rights of every child and make their entry as easy as possible.

• Please respect and do not usurp the authority of the house parents or discipline tech-

niques. If a child is being punished for behavior, do not interfere. Discipline in Guate-

mala may look different than discipline in your country. If you question the child’s

safety, please speak privately with your team leader, who will, in turn, speak privately

with Casa Bernabé leaders.

• Young ladies seven years and older should not sit on the laps of men for any reason.

• Kisses are only permitted if given on the cheek in a friendly manner. The children may

not kiss on the neck, lips, or any other area of the body.

• Children are not allowed to beg. We are trying to educate the children in the proper

way to act and begging does not fall in that category. Do not feel obligated to give any

child anything they ask for.

• The children do not have permission to enter dorm rooms or the dining hall. Please do

not invite them in for any reason.

• The children should never go through your personal belongings. If you brought gifts for

the children, please make sure you speak with the house parents about it first. This di-

minishes the chance of a child being accused of theft. Please respect this rule and re-

member, always ask before giving.

• No adult is allowed to be alone with a child. This is both for the protection of the child

and your protection. Examples of this are going on walks together, being in a room to-

gether, etc. This does not include playing basketball, swinging, etc.

• Children are not allowed out after dark by themselves. Please don’t encourage them to

leave their house after dinner.

• Please DO NOT refer to yourself as any child’s “mommy” or “daddy” or any other term of

endearment that undermines the parental authority of the house parents

• Please do not ask them about their past or their personal life, even if you are qualified to


counsel them. We have specific counselors who are working with them that already

know their backgrounds. If a child voluntarily offers information about their past and

wants to talk about it gently ask them to share it with their houseparent and then

change the subject.

• Please make sure the children have no access to supplies: for example, axes, paint,

thinner, glue, or other substances that can be taken advantage of. Some of the children

struggled with abusing these products in the past. When not in use, put all painting

equipment up so that children cannot get into them.

• The children eat their meals in their own homes. Please do not give them food or candy

without asking their houseparent for permission first.

• Please respect school hours (when in session).

• Please be careful about believing everything a child tells you. Do not do anything just

because a child tells you they are allowed. Do not send a child to ask their houseparent

if they are allowed to do something. Always ask the houseparent yourself.

• If a child makes an accusation or tells you something that concerns you, please tell Sara

or Edgar Salguero immediately. Please do not show the child any immediate reaction

or involve anyone else at this stage. Sara and Edgar will make sure any such concerns

are given immediate and total attention.

• Although we rely completely on financial support from generous individuals and organi-

zations, we are able to ensure that all our children always have everything they truly

need. So do not feel obligated to give something to a child that he/she says they need.

• Please do not give the children any money or gifts. If you would like to bless them with a

financial gift, please give it to their house parents, or ask about other specific needs.

Since there are some 140 children, your gift to our General Fund is THE single best gift

you can give. It covers food, shelter, staff salaries, medicine and education.

• We would be very happy if you wish to write to any of the children after your stay at

Casa Bernabé. It is best to send it with someone who is coming down, as the

Guatemalan mail system is unreliable. As a forewarning, all incoming mail and outgoing

mail for children is read first. Many times children will open up more in letters than in

person. We need to know what is going on in their lives. We read the letters for the

protection of the children. Anything of romantic or inappropriate nature will not be

passed on.


CONTACT INFORMATION

(available under separate request, for safety and privacy reasons, via [email protected]. Do not

post it online or give copies to anyone other than team members or their known friends and

family for contact purposes while traveling).

TOOL USE

We have been blessed over the years through many generous donations to have good quality

tools for you to use while you are here. We ask that you treat these tools as if they were your

own. Please only take tools that are designated for team use and return them EACH DAY to

the storage shed.

There are only two places that we store tools for team use: the metal shop and the carpenter

shop.

The metal shop has tools marked green and tools marked red. The green ones are for your use

and the red ones are to NEVER leave the metal shop. The red ones are only located at the

work bench area and are there so they are handy when we need to fix something at the work-

bench.

The tools in the carpenter shop are ABSOLUTELY under no circumstances to leave the carpen-

ter shop. We construct many things from wood and need tools readily available.

Remember: “Gringo” and “Rojo no” (Green go and Red no)

Persons not willing to follow these simple rules WILL NOT be given further access to the tools

or the shops. Safety first- don’t leave tools in pathways or plugged in unsupervised.


BACKGROUND CLEARANCE POLICY

Casa Bernabé and FOCE require that each person 18 years and older obtain clearance in

the form of a background check against any felony or sexual charges. This is for the

protection of our children. Failure to comply will result in applicants not being able to

serve at Casa Bernabé. A felony or sexual charge will prevent that person from coming

on our campus.

FOR TEAM MEMBERS OR SHORT TERM MISSIONARIES (SERVING UNDER A MONTH):

OPTION 1 - LOCAL POLICE CHECK: Go to your local police department where you reside. Re-

quest that the police conduct a criminal records search and provide you with a document re-

flecting that there is no history of a criminal record. Your local police department can phrase

this in whatever way they deem appropriate. There should be no history of physical or sexual

assault.

OPTION 2 - CHURCH CLEARANCE: Many churches require a local background check for any

adults who work with youth. If this check has been done on a team member this is acceptable.

We will require a letter on church letterhead and signed by your pastor stating that the person

has cleared the background check. Please contact us as soon as possible if any offense is

disclosed. FOCE will decide if the team member will be granted the privilege of serving at Casa

Bernabé.

FOR INDEPENDENT MISSIONARIES SERVING AT CASA BERNABÉ A MONTH OR LONGER:

FBI BACKGROUND CLEARANCE: Obtain your fingerprints from your local police department.

The subject of an identification record may obtain a copy of their clearance by submitting a

written request to the Criminal Justice Information Services (CJIS) Division of the Federal Bu-

reau of Investigation (FBI). The request must be accompanied by satisfactory proof of identity

(consisting of name, date and place of birth, and a set of roll-inked fingerprint impressions) and

a certified check or money order for the $18 processing fee. Requests should be directed to:

FBI CJIS Division – Record Request 1000 Custer Hollow Road

Clarksburg, WV 26306.

If there is no criminal record, a report reflecting this fact is provided. This check can take up to

six weeks to process.


VISITOR AGREEMENT FORM

I fully understand and agree that it is a privilege, a blessing, and an honor to be able to serve at

Casa Bernabé. In exchange for my being able to serve at Casa Bernabé, I agree to the following

statements.

1. I understand that I am expected to respect and uphold the rules and regulations at

Casa Bernabé whether or not I am in agreement.

2. I will act and speak in a manner that honors God and shows respect for the

children, personnel of Casa Bernabé, and my fellow team members.

3. I agree to follow the “Dress Requirements” as set forth in the orientation packet. If I

have any questions, I will seek the advice of my team leader.

4. I agree that I will not use tobacco, alcohol or illegal drugs while in Guatemala.

5. I will refrain from inappropriate expressions of affection, especially with any Casa

Bernabé children.

6. I understand that I am to trust that God is in control and that those who are in posi-

tions of authority and responsibility for Casa Bernabé are truly seeking to do God's

will and to act in the best interest of the children that God has entrusted into their

care.

7. I have read the Casa Bernabé Orientation packet.

8. I have completed a background check and passed it to the best of my knowledge.

By signing below, I am stating that I am in agreement with these rules while in Guatemala and

at Casa Bernabé Orphanage and I will respect all those in authority. Furthermore, I understand

that if I do not comply with this agreement during my stay I may be asked to return home at my

own expense.

PRINTED NAME DATE

SIGNATURE

GROUP GROUP LEADERS INITIALS

PASTOR’S SIGNATURE PASTOR’S PHONE NUMBER

Contact #1 First Name Last Name

Address

City State Zip

Relation Home Phone Cell Phone

First Name Last Name

Address

City State Zip

Relation Home Phone Cell Phone

Emergency Contact Form

This form is to be in possession of the Casa Bernabé Team Coordinator upon arrival in Guatemala. First Name Last Name

Address

City State Zip

Position Dates of Service

From / / to / /

Date of Birth

/ /

Passport # Expiration Date

Insurance Company

Insurance Company Phone #

Policy #

Please Specify Any Diagnosed Medical Conditions You Have

Please List Current Prescribed Medications

Please List Any Allergies You Have

Emergency Contact Information

Page 1

Mission Trip Application

Home Church Are you a member?

Yes No

Pastor’s Name Pastor’s Phone

Please describe when you accepted Jesus Christ as your personal Savior

Please list any Christian ministry you have done (Bible study, Drama team, Mission, Discipleship group, Small group, Counselor, Leader, Teacher, Music, etc.)

PERSONAL INFORMATION First Name Last Name

Address

City State Zip

Email Home Church

Home Phone Cell Phone

Date of Birth (mm/dd/yy) Male Female

Marital Status

Single Married Divorced Other (please specify)

Are you a United States Citizen? Yes No If no, what country? _

GUARDIAN OR SPOUSE INFORMATION

Spouse OR Father’s First Name Spouse OR Father’s Last Name

Address

City State Zip

Home Phone Cell Phone Email Address

Mother’s First Name Mother’s Last Name

Home Phone Cell Phone Email Address

CHURCH/RELIGIOUS INFORMATION

Page 2


PERSONAL EVALUATION Please evaluation yourself in the following areas (place an X on the line in the most appropriate area)

Mental ability quick in comprehension average slow

Initiative develop original ideas average depend on others

Industry hard worker average lack persistence

Reliability meet obligations average neglect obligations

Cooperation work well with others average avoid group situations

Leadership prompt/intelligent decisions average no leadership ability

Adaptability make good adjustments average ill at east

Social Attitude take advice average unyielding in character

Christian Character sound/well-balanced average unstable

Disposition cheerful average depressed

Habits good average bad

Self-Respect

Dress neat average untidy

Person clean average careless

Speech careful average loose

Briefly describe why you wish to participate in this mission trip/outreach

Briefly describe your personal devotional life in the last 6 months (i.e. What have you learned? What has God spoken to you? What are you burdened for?)

Briefly describe your burden for those who do not know Jesus Christ as the Leader and Forgiver of their life

Page 3


MEDICAL INFO & RELEASE FORM If you are under age 18, your parent or guardian must sign this form.

Physician Name Physician Phone

Allergies Date of Last Tetanus

CIRCLE RELEVANT MEDICAL CONDITIONS:

Asthma Stomach Conditions Diabetes (Non-Insulin Dependent)

High Blood Pressure Migraines Diabetes (Insulin Dependent)

Hay Fever Shortness of Breath Fainting Spells/Dizziness

Musculoskeletal Conditions Seizures Eye Conditions

Hearing Conditions Other (please specify):

DESCRIBE ANY CONDITIONS CIRCLED:

LIST ALL MEDICATIONS YOU ARE CURRENTLY TAKING: (attach separate sheet if necessary)

MEDICATION

PRESCRIPTION #

DOSAGE

TIME

Pharmacy Name:

Pharmacy Phone ( )

CIRCLE OVER-THE-COUNTER MEDICATIONS THAT MAY BE ADMINISTERED:

Ibuprofen

Benadryl Tablets

Cough Drops

Mylanta

Tums/antacids Oragel

or Baby Oragel

Acetaminophen

Benadryl Lotion

or Cream

Hydrocortisone

Cream

Bacitracin/

antibacterial

Ointment

Caladryl Lotion

or Cream

Sucrets

Health/Medical Insurance

(If copy of insurance card is attached, check here and do not complete this section)

Insurance Company

Policy Number Group Number

Employee or Principal Insured’s Name

Page 4


Consent for Medical Treatment; Release and Hold-Harmless for Travel

WHEREAS, (my child / I) _, wishes to be a member of “Name of Church/

Organization” group which will be traveling to Casa Bernabé Orphanage in Guatemala city, Guatemala, Central

America and staying in, and WHEREAS, certain circumstances may occur resulting in (my child’s / my) need for

medical care and treatment, and further resulting in my inability to personally give consent for such care and

treatment; THEREFORE, in consideration of permission for (my child / myself) to participate in said mission,

I, , being of legal age, authorize , or any agent of

_, to act on (my child’s / my) behalf should I be unable to do so and to consent to

rea- sonable medical/dental care and treatment which may be deemed necessary for (my child’s / my)

medical well-being for the duration of the mission.

This consent is given in advance of any specific diagnosis, treatment, surgery, or hospital care required, but is

given to provide authorization and specific consent for medical/dental treatment and care in (my child’s /my)

behalf. Any consent by shall have the same force and effect as if I had per-

sonally given the consent.

I certify I have personal health insurance with no territorial limitation, including foreign countries, which will

provide coverage for (my child/me) during the duration of said mission. I understand that no health plan is

provided by .

Company (must provide proof of medical insurance) Policy #

I am aware that serious illness, requiring return by air ambulance could be very costly. I agree that I am solely

responsible for any expenses that may arise from (my child’s/my) return by air ambulance or other extraordi-

nary means. I hereby release and hold harmless _, its officers, employees, and rep-

resentatives/volunteers from all liability for personal injury, including death, as well as all property damage or

loss arising out of (my child’s/my) participation in this trip.

(My child’s/ My) Passport # is

Country where passport was purchased

I have read and understand the above information. The information I have given

is accurate and true to the best of my knowledge. I also give the right to use my

picture, voice, and/or testimony in any form of promotional or advertising materials. My enclosed signature

signifies my approval of all limitations listed above.

If you are under custody of both parents – both parents’ signatures are required.

If you are under custody of one parent – the signature of the one who has custody is required and a copy of a

legal document stating the sole custody agreement, or a notarized copy of a death certificate.

We apologize for any inconvenience.

Father’s signature (If applicant is under 18 years of age) Mother’s signature (If applicant is under 18 years of age) Date

Guardian’s Signature (If applicant is under 18 years of age) Missionary’s signature Date

Documents

Casa Bernabé Orphanage Team Orientation 2014 · administers missionaries and funding for Casa Bernabe (seen throughout here as “FOCE”). Sincerely, Kalee Barnes Team Coordinator