Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Date Volunteer Work Begins:
Date Volunteer Work Ends (if known):
Proof of Insurance
Individuals are to secure travel insurance as well as accidental death and dismemberment insurance to cover the event of illness or major catastrophe on the project. The travel insurance would include coverage for medical expenses and medical repatriation. There are different options to acquire this insurance:
1. Your local church. Once your local church has voted to support an individual or group, it is possible to secure the insurance provided through Adventist Risk Management at a reasonable rate (www.hesaidgo.net).
2. The local mission. The local mission where the AFM project exists could approve the work project making it possible to obtain insurance through Adventist Risk Management.
3. Personal insurance. If these options are not possible, you may need to acquire personal insurance for this trip.
You may scan and email your proof of insurance to email@example.com or upload it below.
Upload your Proof of Insurance:
Please attach a scanned copy of your proof of insurance.
You will only need to sign one of these documents.
1. Liability Waiver for Individual: If you are coming as an individual or group of individuals, complete this form
2. Liability Waiver for Organization: If you are coming under the authority of an organization (i.e. church, school), complete this form.
Please sign the provided liability waiver and submit a scanned copy with your signature to firstname.lastname@example.org or upload it below.
Upload your Signed Liability Waiver Form:
Child Protection Training
AFM seeks to protect children and to this end we now require volunteers to complete a specific training module on this topic prior to departure.
Note: If you are able to prove you have received equivalent training in the area of Child Protection (i.e. Shield the Vulnerable certificate), contact the Human Resources Director. This may meet AFM’s requirement for training, but approval by the HR Director is required.
1. Go to www.taalk.org
2. Click on “Training: Free Class”
3. Under the “On-Line Training” section is a link to begin the training entitled “Child Sexual Abuse Boundaries for Youth-Serving Organizations” (Module #2). You only need to watch Part 1 & 2.
a. You are required to enter your name and email address
b. The training takes approximately an hour and a half to complete
c. Note: You can pause this training but it will time you out and you may have to re-enter your name and email, but you can continue on with the training still (just note at what point you paused in case it loses your place)
4. Read the attached AFM Child Protection Policy.
5. Complete the 10 question quiz below after completing the on-line training.
1. Child abuse, by definition, occurs between an adult and a minor, but not between two minors.
2. Those most likely to offend against children are:
Coaches and Teachers
Extended & immediate family
Friends and Neighbors
3. Which is NOT a sign of sexual abuse:
Changes in modesty--either dressing in a revealing way or baggy clothes to hide their body
Awareness of sexuality beyond what is developmentally appropriate
Poor hygiene and always being hungry
Fear and withdrawal from others or demonstrating poor boundaries with others
4. Why is it best to have two adults present with children if at all possible?
90% of child abusers isolate their victims from other people prior to abuse
25% of reports of child abuse are false allegations
80% of childhood sexual abuse occurs in a one-adult, one-child situation
5. Which is NOT a risky behavior that an offender may use to gain access and control of children?
“Accidentally” walking in on a child using the bathroom
Keeping secrets with kids
Giving gifts to a child
Insisting on treating all the children the same and not showing favoritism
Arranging to spend alone time with a child
6. Which is NOT a benefit of talking about child abuse?
It decreases the need for counseling victims of abuse
It notifies offenders that adults are watching for abuse
It helps child abuse survivors know they are not alone and can seek healing
It increases awareness
It inspires other adults to protect children
7. Which individuals do you report suspected child abuse to within AFM?
Field Director, Career Missionary, and Human Resources Director
Human Resources Director, International Field Director, or officer in charge
AFM President, Human Resources Director, Career Missionary
International Field Director, Career Missionary, AFM President
8. Suspected child abuse must be reported immediately!
9. Which is NOT a preventative measure for child abuse AFM uses?
Required training about child abuse
Finger printing checks
Criminal background checks
10. What does the individual verbally reporting abuse to AFM do next?
Report the abuse to the local authorities
Counsel the parents of the alleged victim
Submit a written form that documents everything
Recommend care for the alleged victim
By this electronic signature, I am indicating that I have completely watched the on-line training, I have not shared or received answers to this quiz with others, and agree to protect any and all children I may come in contact with while volunteering with Adventist Frontier Missions.
A background check is required of all volunteers as part of AFM’s Child Protection Policy.
Please fill out the corresponding form for this purpose. AFM will then complete a national background check for each volunteer.
Note: If you are not currently living in the United States or a U.S. citizen, you will need to complete a background check as provided for in your own country and submit this (a clearly readable scanned copy emailed to email@example.com or uploaded here).
Upload your background check form:
AFM requires three (3) non-family references. Please share the reference form with your desired references which they will submit directly to AFM's HR Director.
AFM Contact Information:
AFM HR Director
PO Box 286
Berrien Springs, MI 49103
Statement of Faith
By this electronic signature, I acknowledge that I have read AFM's Statement of Faith and Statement of Ethical Foundations (documents are attached below) and agree to uphold these while volunteering with AFM.
Do Not Fill This Out