Application for Trips in 10/2012 and 4/2013

APPLICATION FOR WAYS MISSION TRIP TO HAITI

Sponsored by Workdays for Adults and Youth in Service and Union Church

Name ___________________________________Phone _____________ Date of Birth ___________

      (print name exactly as it  appears on your passport)

[Name you would like to be called _________________________________]

 Phone #_________________________
 E-mail (yours or a friends - for trip info.) _______________________

Mailing Address ______________________________________ 

Town _________________________ State _____ Zip ____________

Emergency Medical Contact _____________________Relationship____________
Phone _______________

                                    (Someone not traveling with you.)

Insurance Beneficiary ________________________________      Phone _______________

                                    (Beneficiary for missionary accident insurance.)

Male __  Female __                                       Age:      _____ (Minimum age is 18 years.)   

Home Church _______________________________ ___________

Church with whom you're traveling if different than home church _______________________________
___________________________________

Reference - a leader or clergy person in your faith community whom we can contact

_____________________________________________________________________________

                (   name                                   `                                                               name of congregation                                                               phone #  )

Dates of planned trip in which you are hoping to travel:
             Oct. 27-Nov. 3/ ’12 chicken farm and pediatric therapists educational consultants   ___ 
             April 6–13/ ’13 medical team  and nursing and educational consultants  ___

Construction team ________

Medical team _________

Children’s activities___(1 day sessions of Children’s Bible School stories, crafts, songs, & other activities)

Other (specify)_____________________________

FLIGHTS (Airfare and transportation to the airport is not included in your cost):

The flight cost from Boston / NYC to Port au Prince is expected to be about $600.

 (We are glad to book your tickets when the minimum number of participants is met.)

                                    PERSONAL MEDICAL INFORMATION                                                     

List any physical limitations      ________________________________________________________ 

Most recent tetanus shot date (recommendation to be within the last 5 years): _________

Health Insurance Information                                

Please Bring Card to the Worksite 

POLICY PROVIDER______________________                         #_________________________

EFFECTIVE DATES__________________                                 

FOR MORE INFORMATION PLEASE CONTACT:

The Rev. Shantia Wright-Gray        Coordinator for local and global Workdays for Adults and Youth in Service (WAYS)  shantiawg@gmail.com   508-450-2001, PO Box 7028, Ocean Park ME 04063

CONSTRUCTION - WORK EXPERIENCE RATING :

Participants can have work experience ranging from none to professional.  We will try to take this information into account as we assign you to a project, so please give an accurate assessment of your experience.  (You might be asked to bring portable tools to the workcamp that will enable you to use this experience.)

            Use the following number guide to indicate your experience level in each category below.  If you are under 18 years  of age and mark yourself as having Medium Experience (level  3) or Advanced Experience (level 4) in any area, you must have your parents sign in the box at bottom of the application.

0.-No Experience                     1.-Low Experience                                                      2.-Medium Experience           

            3.-Advanced Experience                                 4.-Professional Experience (Adults Only)

CONSTRUCTION WORKERS (to aid in assigning you to a project that will be suitable for you and rewarding): Please enter the number which best reflects your level of experience in the following categories. Indicate only one number per category.

 __ Painting             __ Carpentry                  __ Drywall                     __Masonry 

                         __ Electrical           __ Concrete Works         __Heating/Cooling               __ Roofing

 __ Siding              __ Plumbing    

Operating equipment:

Power Tools, Heavy Equip (i.e. bulldozer, front end loader, etc) _____________________________________

Trade licenses: ________________________________                                                 In what states?________________           

MEDICAL TRAINING: (what area)_____________________________________________

licensed?______  In what state?_________ 

CHILDREN’S ACTIVITIES -1/day VBS type experiences

Willing worker __________ 

Special Skills

     (crafts, church school teacher, music/singing, drama etc.) please specify __________________________

OTHER SKILLS:

   Licensed Therapist _________                                Social Service training _______

   what professional training/certification?    ___________________________________

  Farming skills - please describe ____________________________________________ 

  Other _________________________________________________________________________

PAYMENT ENCLOSED:  Initial deposit:                                                                                            $200.00                                                          (Deposit is Non-Refundable once tickets are booked) 

                                              Second Payment: due  3  months before trip                                         $500.00

                                                      

                Balance due: 2 months before trip                                                           $600.00

               TOTAL                                                                                      $1300.00 (not including airfare)

           

1. MAKE CHECKS PAYABLE TO -   “Union Church” (and mark the memo line with “Haiti Trip”)

2. MAIL THIS FORM AND YOUR INITIAL DEPOSIT TO:

Shantia Wright-Gray

            PO Box 7028

            Ocean Park, ME 04063

3. SECOND and FINAL PAYMENTS: should also be sent directly to Shantia

Publicity Flyer for Trips for 2012 -2013

DO SOMETHING CONCRETE FOR HAITI!!!!

Are you looking for a way to do something“concrete” in Haiti?  -  to know that your time or talent or money is assisting in an accomplishment you can point to and say, “Here is one way I have helped to make a few lives better”?

 In 2011, our Partners, “The Haitian Baptist         Convention”        have, with the help of

Denominational Aid from around the world,

A/ built a school where they have:

1. an orphanage                              2. a day school

3. a sewing/tailoring class              4. a computer class             

5. a class in tiling                             6. a center providing physical and occupational therapy for physically handicapped children.

AND  7. they are opening a school of nursing with a well qualified director – educated in Montreal.                                                                                                                        School started by WAYS in 2011 in PaP

                       

B/ In the wake of our medical team’s work this last year they are developing

a healthcare initiative pilot program in 5 of the churches. 

They will each have a Parish Nurse who will follow parishioners with special health needs. We will help them provide low cost medication for those who would not otherwise have access (e.g., high blood pressure, diabetes)

C/ Now they want to build a chicken farm to provide protein for the orphanage…

Join us this October, 2012 in helping with the development of a chicken farm to help feed an orphanage - OR come and share pediatric therapy skills with physically handicapped children - OR offer a workshop for students in a school of nursing or teachers in the day school.

Join us next April, 2013 when we take our medical team to 5 different schools and churches in the Port au Prince area.

OR

Make your financial contribution to help us to purchase the materials needed for this amazing work.

AND

Pray for our travelers and for the Haitian Baptist Convention who is building schools and farms and helping people to rebuild lives.

For More Information about joining us or making financial contributions:

Please contact The Revs. Shantia & Jonathan Wright-Gray

at shantiawg@gmail.com or 508-450-2001.

Checks payable to “Union Church” with “Haiti” on the memo line.

(If mailing send to: Haiti c/o Wright-Gray, PO Box 7028,

Ocean Park Maine 04063.)

Partnership with the Haitian Baptist Convention:10 of my Favorite Things!

Assumption #1:  For cross cultural mission teams to function with integrity, there need to be local partners who determine their own needs and goals, and set the agenda for the team's work.

Assumption  #2:  While we could just "send the money" for projects instead of paying for ourselves to go, this would not develop a sense of solidarity and connection.  By making financial contributions for construction and medicines AND going to work with them, we demonstrate that we care in a powerful way and build ongoing relationships.  We are also changed and these relationships grow, the value of which cannot be measured in dollars

FAVORITE THINGS ABOUT OUR PARTNERSHIP WITH THE 

HAITIAN BAPTIST CONVENTION

1.  The Haitian Baptist Convention is well motivated, follows through on their visions, and is getting important things done for the betterment of their communities!
2. They have built a 3 story school, that includes a day school and an orphanage, computer, tiling (ceramic), and sewing classes and a therapy center for children with physical disabilities
(with the help of major funding from Baptists in Hungary, Virginia, and around the world).
   [Needed-  Ongoing funding for the therapy center and other programs.  Pediatric Therapists -    
   especially PT and OT volunteers to provide additional training to Therapeutic Aids working with
   the children.]
3. They will soon be launching a Nursing School, with a very dynamic and well qualified director.
    [Needed-  Equipment and textbooks for the school- e.g., BP cuffs, stethoscopes, a resusci-Annie
    mannequin.]
4. They want to create a chicken farm to provide food for the orphanage and the parishioners managing it - and perhaps funds for ongoing programs.  We have been invited to work with them on this project...
    [Needed-  Funds for the building and the chickens / participants to help with the building / people
    knowledgeable about environmentally sound farming practices.]
5.  The Baptist Convention has just initiated contact with the Haitian branch of Heifer Project International.  They hope for the participation of members of their churches in HPI's education and farming.
6. The Concorde Baptist Church has an English Club that is nurturing very good English Speakers - a valuable skill in Haiti.  Four of the students served as interpreters for this year's mission group.
    [Needed: Young Adult English Books that would be acceptable in a Conservative Christian
     Church environment.]
7. In response to our concerns about medical follow-up for patients seen by our medical teams, 5 of the Convention's Churches are instituting a "Parish Nurse" or "Health Promoter" program.  The nurse in each church will keep a list and follow up on patients seen by the team who need additional medical treatment or medications.  In the case of financial need we will work together to attempt to provide needed care.
    [Needed: Funds for medications and medical follow-up.]
8. Our partners there arrange for comfortable, safe, guest houses for our stay, enclosed in a secure compound.  We are served safe and good food and lots of bottled water.
9. We are transported safely through traffic, over poor roads, and through an unsettled city.
10. Our partners are gracious, hospitable and faithful people!

Easter Eggs Make Great Maracas!

Greetings Friends!
Take a minute after Easter to check out any great deals on plastic Easter Eggs.
In Haiti the children can fill them with stones - we can tape them with bright colorful tapes and they can even put stickers on them.
They make great maracas!
So buy the eggs, open them and make stacks of tops and stacks of bottoms - wrap them up in a plastic bag and they're ready to go!!!!!
THANKS!!!