Mountain Heritage Missions

       MHM USA Office:           
423-923-9500             

MHM PHILIPPINES Office: ​
               63-947-344-8810                
MHM Email:                   dgm2theworld@aol.com           



  We’re committed       

to helping you
​REGISTRATION FORMS:  (Print these forms, fill them out, sign and date, and mail them to Mountain Heritage Missions)

Missions Week Dates:    _________________________________________  Location:  _________________________________________________

General Information:

  Name: ___________________________________________________ Age: _______________

  Address: ______________________________________________________________________

______________________________________________________________________

  Phone: ________________________________ Email: _______________________________

Gender:  Male  ______   Female: ______      T-Shirt Size: __________________________

Marital Status:   Single _______   Married ______

Emergency Contact Info:

  Name: __________________________________________ Relationship: ______________

  Address: ______________________________________________________________________

  ______________________________________________________________________

  Phone: __________________________________

Personal Testimony:

  When and where did you come into a relationship with Jesus Christ?

___________________________________________________________________________________

Medical Information:

  What is your general condition? ____________________________________________

  Allergies (Food, Physical)? __________________________________________________

  Special Dietary Needs? ______________________________________________________

  Medical Insurance? __________________________________________________________

______________________________________________________________________________________________​

****Passport Information:  (Only for trips to foreign countries)****

      Name as appears on passport: ______________________________________________

      Passport #: _________________________________ Expiration: ___________________

      Citizenship: ______________________________________________

      Immunizations:

      It is recommended that you check with the U. S. Department of State to  
      find out what they recommend for travel to the country being visited.  
      Immunizations are not required to travel with MHM. However, you  
      must be aware of this information and then pray and do as you feel led.
______________________________________________________________________________________________​


Ministry Experience & Giftings:

  What is your experience in ministry? ______________________________________

___________________________________________________________________________________

  Have you been on prior missions trips? Where? When?

_________________________________________________________________________________

Do you have skills and/or experience in a particular work area?  _______       If so, what skills do you have that would be beneficial on this

missions trip?  ___________________________________________________________________________________________________  


Why do you want to go on this missions trip? ____________________________________________

__________________________________________________________________________________

____________________________________________________________________________________________________________________


**** Risk Statement: (Primarily for trips to foreign countries) ****

This risk statement is to advise participants with Mountain Heritage Missions (MHM) of the potential risks in visiting and serving in third world developing nations and to realize and take full responsibility for the consequences as one assumes those risks. We ask that you gather as much information as you feel necessary and, when you are completely satisfied and confident that this is what God wants you to do, read this form and if you agree, sign and return the registration form. Keep this form for your records. We count it a real privilege to assist you in your desire to participate in ministering to the Church of our Lord Jesus Christ. Traveling and working in other parts of the world carries with it certain risks not found or associated with work in industrialized nations such as the U.S.A. and Canada. These risks can include hazards to both your person and property through cross-cultural offenses, accident, disease, criminal acts, terrorist acts, weather conditions and inadequate medical services and supplies. There could be additional emotional and physical stress due to culture shock and a variety of ministry conditions.
We realize that it is not possible for us to predict or fully prepare you for every circumstance you will face. It is our goal to advise and prepare all participants of MHM short-term missions trips of the assumed risks associated with mission work in a foreign country and MHM policies through this risk statement. In addition, we suggest and encourage you to prepare yourself for service through a number of ways:
1. Prepare yourself spiritually, physically and mentally for service. 2. Read all you can on the potential country of service. 3. Contact MHM to obtain any information we may have. 4. Talk with missionaries (if possible) serving in the country. 5. Contact your government office, such as the U.S. State Department, to obtain the most up to date information on the area. 6. Take any additional steps you feel are necessary.
It is MHM’s policy to not place ministry participants in harm’s way, thus we seek to monitor and avoid any situation that may possess potential danger to those who travel and minister with our organization.
Special note: In view of the fact that insurgent, guerrilla and criminal groups commit crimes of kidnapping or other forms of criminal extortion as a means for demanding payment of ransom, it is important that you understand MHM’s policy in this area. We are deeply concerned for the well-being of each of our short-term participants and will pray and labor diligently for the release of any participant taken hostage. It is the policy that MHM opposes the payment of ransom in any form: cash, commodities, or services. Therefore participants with MHM should not assume that ransom would be paid for their release. This is a standard policy of missions organizations. This is to prevent all missionaries from being placed at greater risk as hostage taking would greatly increase. Ultimately we believe in the sovereign hand of God in such matters and continue to pray for His protection in areas of ministry. We believe that we are to walk by faith and not by sight.
​____________________________________________________________________________________________________________________


MHM WAIVER:

1. All the information I have provided in this application is true to the best of my knowledge. 
2. I have read the Risk Statement. I am aware of the hazards and risks to my person and property associated with serving overseas in a missions capacity.
3. This is to certify that I will not hold Mountain Heritage Missions liable for injury, disease, or delay of return or any other claims, while under the auspices of Mountain Heritage Missions. 
4. I understand and accept the Mountain Heritage Missions policy regarding ransom payments described in the Risk Statement.
5. I agree to accept all financial responsibility for my Mountain Heritage Missions Short Term Missions trip.


Applicant’s Signature: __________________________________________________________________________________________ 

Date: __________________________________________


** Please make all checks payable to MOUNTAIN HERITAGE MISSIONS and send forms and payments to: 

    Mountain Heritage Missions,  P. O. Box 653, Surgoinsville,  Tennessee  37873