Casa Bernabé Orphanage Team Orientation 2014
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Casa Bernabé Orphanage
Team Orientation
2014Welcome! 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 info@foce.org
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
Casa Bernabé 1 03/2014TEAM 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: info@foce.org.
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 info@foce.org. 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 info@foce.org 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.
Casa Bernabé 2 03/2014Rather 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.
Casa Bernabé 3 03/2014ENTRY/DEPARTURE
Flight info should be sent to info@foce.org 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).
Casa Bernabé 4 03/2014GENERAL 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.
Casa Bernabé 5 03/2014• 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.
Casa Bernabé 6 03/2014DRESS 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.
Casa Bernabé 7 03/2014HOSPITALITY
• 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.
Casa Bernabé 8 03/2014KITCHEN & 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.
Casa Bernabé 9 03/2014GENERAL 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.
Casa Bernabé 10 03/2014• 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.
Casa Bernabé 11 03/2014BEHAVIOR 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
Casa Bernabé 12 03/2014counsel 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.
Casa Bernabé 13 03/2014CONTACT INFORMATION
(available under separate request, for safety and privacy reasons, via info@foce.org. 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.
Casa Bernabé 15 03/2014BACKGROUND 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.
Casa Bernabé 16 03/2014VISITOR 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
Casa Bernabé 17 03/2014Emergency 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
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 PhonePage 1
Mission Trip Application
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
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.)Page 2
Mission Trip Application
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 lifePage 3
Mission Trip Application
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:
Oragel
Ibuprofen Benadryl Tablets Cough Drops Mylanta Tums/antacids
or Baby Oragel
Bacitracin/
Benadryl Lotion Hydrocortisone Caladryl Lotion
Acetaminophen antibacterial Sucrets
or Cream Cream or Cream
Ointment
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 NamePage 4
Mission Trip Application
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 DateYou can also read
