Type N/A if not applicable.
Please provide the name of the country of your citizenship.
The prefix that needs to be dialed by someone calling you from outside your country of residence. (Example: the country code for the U.S. is (001).
All HaMoreh Ministries instructors MUST be active members of a local church.
Use Non-denominational or Inter-denominational, if applicable.
Please affirm the Statement of Faith by typing your name below.
If your explanation exceeds the length of this text box, you may upload your additional comments in WORD doc or PDF format. (See below.)
A criminal record does not necessarily disqualify you. However, omitting or falsifying information is reason for disqualification or termination at any time. You MUST list all charges and convictions regardless of when they occurred. List ALL encounters involving DWIs, domestic violence, or use of weapons. List every conviction or charge by federal, state or other law enforcement authorities of a FELONY or MISDEMEANOR offense regardless of whether the charge was dropped, dismissed, plea bargained, or you were found not guilty. Explain below.
I am voluntarily providing personal information and medical history. I authorize Hamoreh, within one (1) yearof this date, to obtain any or all records and information concerning me regardless of whether the records and
information are confidential. The release of files/records and information may include, but is not limited to,
arrest records, training files, criminal files, employment records, personnel files, disciplinary records and/or
performance evaluations.
If selected, I wish to participate in training and travel in Hamoreh Ministries’ ministry program. I am aware
there are risks associated with international travel and service. I will at all times remain fully responsible for
myself and my safety and health. I understand Hamoreh does not offer medical services, evacuation services,
or legal advice. My service may include all manner of forseeable and unforeseeable risks such as strenuous
activities, political unrest or danger, travel delays, hazards of being in undeveloped areas, and risks that third
parties will not take appropriate safety precautions, among others. I take full responsibility for all my choices,
actions and decisions. I will be responsible for my own immunizations and protective measures and I will not
look to Hamoreh for health or safety advice or resources.
To the extent allowable by law, I assume any and all risks in illness, injury or death arising from my activities
relating to Hamoreh and waive and release any and all actions, claims, suits or demands of any kind or nature
whatsoever against Hamoreh Ministries, its contractors, vendors, officers, agents, directors, sponsors,
volunteers or representatives of any kind (together “Released Parties”) arising from or relating in any way to
my voluntary participation in this ministry. I understand that this Assumption of Risk, Waiver, Release and
Indemnification Agreement means, among other things, that if I fall ill, am injured or die as a result of my
participation, I and/or my family or heirs cannot under any circumstances sue any of the Released Parties for
damages relating to or caused by my illness, injuries or death.
I agree to indemnify Released Parties and each of them and their subrogees if any, in the event of any loss,
damage or claim arising from or relating to my service with Hamoreh Ministries. I understand and agree that I
would not have been permitted to participate in this ministry had I not executed this Assumption of Risk,
Waiver, Release and Indemnification Agreement.
Hamoreh sometimes photographs or films its participants. These images may be used on websites or
marketing materials, displayed at events or officers, or used in other ways. I understand and agree that
Hamoreh may photograph and videotape me and use my name and photographic likeness in all forms and
media for any lawful purposes.
I have read this Assumption of Risk, Waiver, Release and Indemnification Agreement, have asked and received
answers to any questions I had concerning its meaning, and execute it freely, without duress, and in full
complete understanding of its legal effect, and of the fact that it affects my legal rights. I certify that all of my
answers in this Application are true and complete.