Forms

Here are electronic copies of various forms required for an HCM team member.

To download the the PDF documents, you will need Adobe Reader.  A free version of this is available at http://get.adobe.com/reader/  If you have any problems with downloading this, email webmaster@healthcareministries.org or call our office at (417) 866-6311 Monday – Friday, 8 am to 4:30 pm CST.

You may save these forms onto your computer, fill them out, scan, and email them to logistics@healthcareministries.org or mail it to HealthCare Ministries, Attn: Logistics, 521 W. Lynn St., Springfield, MO 65802

Step 1 – Application Checklist

Refer to this document to ensure all the steps to the application process have been covered.

Application Checklist

Step 2 – Team Member Application

Fill out this Team Member Application using either the Electronic Version or the Print Version. If you choose the electronic version, you must download it to your computer and open it with Adobe Reader.  To download, you must right-click on the button, select “Save Link As” (if you are using Chrome or Firefox) or select “Save Target As” (if you are using Explorer), save it to your computer, and open it using Adobe Reader.  It will not open in your internet browser by left-clicking on it.

Team Member Application – Electronic Version

Team Member Application – Print Version

Step 3 – Remaining Documents

Team Member Signature Form

Background Check Release

Curriculum Vitae

Immunization Recommendations

Universal Precautions Guidelines

Step 4 – Fundraising Resources

The following do not need to be turned in to HCM.  They are for your benefit as you raise funds for your outreach.

Sample Fundraising Letter

Sample Fundraising Form

Urgent Needs

HCM urgently needs the following healthcare professionals in order for upcoming medical outreaches to be made possible:

HONDURAS – Dentist

All Needed Professionals »

HCM urgently needs the following supplies for upcoming medical outreaches:

We currently need donations of large, hard-sided suitcases to pack materials for our outreaches. See how you can help us out with suitcases and other materials needed.

All Needed Supplies »

Contact Us

Contact us with any questions, comments or inquiries with the info below or with our simple contact form by clicking here.

Address:
521 W. Lynn St. Springfield, MO 65802
Phone: 417-866-6311 Fax: 417-866-4711

Assemblies of God World Missions

Join Us On Facebook