Generations Costa Rica Team Application (2026) • Generations Church

Application Form

Costa Rica 2026

Please complete and submit this application form to be considered for the 2026 Costa Rica trip that we are planning to take in Oct/Nov 2026. We are currently in the process of setting the date. Some key information items:

An application form must be completed for each person/applicant.
We will be working with Gary and Kathy Heinrichs and the indigenous people in the jungle of south-eastern Costa Rica
The maximum team size is 15 people
You must be 15 years of age or older to apply
You must qualify for the medical insurance coverage that the team will be getting.
Medical conditions will considered based on the location we will be serving as we will not be close to any medical facilities
If your application is selected, an application fee of $150 will be due.
You must have a current and valid passport that will not expire within 3 months after the last day of the trip.
Each team member will need to fundraise approximately $2500 to cover flights, on the ground travel and food costs, medical insurance, etc.

Passport Information

First Name (Names as shown on passport)

Middle Name

Last Name

Date of Birth

Nationality/Citizenship

Country of Issue

Expiry Date (Note: if passport requires renewal, please ensure it is done with sufficient time for your passport application to be complete)

Contact Information

Email Address

Phone Number

Home Address

City

Province

Postal Code

Country

Emergency Contact Information

First and Last Name

Email Address

Phone Number

Relationship to you

Personal Information

Home Church

Your Pastor's Name

Your Pastor's Contact Information

Your Pastor's Email Address

Your Pastor's Phone Number

Describe any prior short-term missions experiences including approximate dates?

Describe your motivation for wanting to participate on a mission team?

Describe the strengths you bring to the team on a missions trip?

Describe any weaknesses or things you think you may struggle with.

Describe your current relationship with God.

Describe the areas you serve and what you do in those areas in your church.

Applicants Under 19 Years Old

Do your parents/guardians support you going on this trip?

Yes

Father's Full Name

Father's Phone Number

Mother's Full Name

Mother's Phone Number

DISCLOSURE OF CONDITION, DISABILITY OR ILLNESS

A short-term mission is a wonderful opportunity, but it can create emotional and physical stress. Living in a different country may be difficult in terms of, for example, the limited availability of certain foods, limited public accessibility for individuals with mobility impairments, and transit and public works systems that are not consistent with western standards. This self-disclosure form has been designed to assist Generations Church and it's overseas partners in determining our appropriate care with all team members. It is, therefore, in your best interest to answer carefully each of the questions below and to provide a candid evaluation of your physical health, stamina and emotional stability. Information you provide on this form will be held in confidence and will be shared with Generations Church leadership on a "need to know basis."

Medical Information

Describe any dietary restrictions or known food allergies

Are you allergic to any of the following, check any that apply

Penicillin

Aspirin

Sulfa

Other

If other, please explain:

Describe any other allergies e.g. insect bites, bee stings, pollens, etc.

What prescribed medications will you need to take while you are on the trup? Please identify and describe what it is for.

Please refer to your medical records/history and indicate the years of your immunizations. A doctor's signature is not necessary.

Tetanus-Diphtheria

Polio

TB skin test

MMR (Measles, Mumps, Rubella)

Twinrix

Others

Medical Conditions

Do you have any medical problems that may, under stress or duress, require immediate medical attention during your participation in this missions trip (e.g. epilepsy, heart trouble, asthma, ulcers, diabetes, past illness)? If yes, please explain:

Do you have any physical conditions that may affect your participation in this short-term missions trip due to dietary needs or need for accessible transportation and housing? If yes, what accommodations might be required?

Do you have any psychological conditions that may affect your emotional or mental well being during your participation in this short-term missions trip? (e.g. Depression, schizophrenia) If yes, what kind of support might be needed?

Do you have any medical problems that may make it difficult to obtain international visas (e.g., HIV/AIDS, Hepatitis, Infectious diseases) ? If yes, please explain:

Acknowledgement

I acknowledge that I have provided a full, honest and open disclosure regarding my physical and psychological health. I give Generations Church permission to share this application with our missions partners.

Yes