Volunteers In Medical Missions

Dear Applicant:

This application contains the required information for your participation in the VIMM trip: an Application form, a Standard of Conduct Agreement, and a Pastor's Recommendation form. Please complete or get each of these forms to the appropriate person along with the $10 application fee and return to the VIMM office. If you do not have a pastor, it will be necessary for you to have two letters of personal recommendation written by a non-family member and returned directly to VIMM. In the letter, the person making the recommendation should describe his/her relationship with you. If you have been a VIMM team member within the past 12 months, please complete page 1 & 2 and any information that has changed since your last trip and a Standard of Conduct Agreement. A new Pastor's Recommendation form is not required.

Please inquire about our policies regarding applicants under age 18 and requests for extended stays, either going before or returning later than the team. The Extended Stay Form must be submitted at least 3 months prior to the trip date.


You must have all materials returned to the VIMM office by the dates indicated. At that time, the team leader will review your application and evaluate your position on the team. If your application is approved, we will notify you with the cost of the trip and deadline for the payment. We will also notify you if you are not chosen for this team and sincerely hope that you will consider another VIMM trip.


If someone wishes to help pay for your trip, checks must be made to VIMM in order for that person to receive a receipt. Cost is generally based on airfare from Atlanta, GA. (If coming from a different city, the trip cost does not include your additional airfare to meet the team--usually in Atlanta, Houston, or Miami. You will be notified with the additional fare.) Estimated Due Dates for Payment: A $250 deposit will be due 5-7 months prior to the trip. Full payment will be due 3-4 months prior to the trip. The Trip Verification form in the Acceptance Package will have final cost and payment deadlines.


All payments are NON-REFUNDABLE and become the property of Volunteers in Medical Missions. Excess funds will be designated for the team member's future trip and must be used by the team member within 2 years. After that time the funds will be transferred into other VIMM accounts.


We have limited scholarship funds available for resident physicians, last minute medical professionals, translators, clergy, and support personnel who are recommended by the team leader. Contact us for more information.


Estimated Due Dates for Payment:

  • A deposit of approximately 1/2 the trip cost will be due approximately 4 months prior to the trip.
  • Full payment will be due approximately 3 months prior to the trip.
  • The Trip Verification form in the Acceptance Package will have final cost and payment deadlines.


    A passport is required for all trips and generally takes 6-8 weeks to obtain. The cost is approximately $100.00 and the passport is good for 10 years. If you already have a passport, please check the expiration date. If it expires within 6 months from the departure date of the trip, please have it renewed. Most countries require 6 months before expiration. We will also be requiring a copy of your passport. The travel agent will need the information from this to get our group tickets. To find out how to get a passport, visit the State Department’s travel Web site at http://www.travel.state.gov. See the list of places to process your passport at http://www.iafdb.travel.state.gov/. (Just type in your zip code). Off peak time for applying for a passport is between August and December.


    Because VIMM is an inter-denominational organization with team members coming from varied Christian backgrounds, it is imperative that each team member to be tolerant of other's differences. I encourage you to look for the central doctrines of Christianity on which you can agree and not dwell on differences. Paul instructs believers in Ephesians 4:3 to make every effort to keep the unity of the Spirit through the bond of peace. For a mission trip to be successful, members must work as a team.


    Thank you for your desire to serve God through medical missions. If I can be of any help to you, please email at MeganG@vimm.org or call 800-615-8695.


    Sincerely,


    Megan Gensler
    Trip Administrative Assistant

    Dominican Republic
    September 02 2017 - September 09 2017
    Early Estimated Trip Cost: $1,960 - TRIP FULL
    We are seeking a team of 25 team members to work on the border between Haiti and the Dominican Republic to provide primary care clinics to an orphanage, school for the deaf, and in several churches on September 2-9, 2017. Our host, Touching Lives Worldwide, has been working in Haiti and the DR for many years and has experience working with medical and dental teams.
    We will fly into the Puerto Plata, DR Airport on Saturday, September 2nd and drive about 3 hours to the Codevi Hotel where the team will be housed for the week. The hotel is very comfortable and includes a restaurant where we will eat most of our meals. The team will conduct primary care clinics on Sunday to Thursday in the Touching Lives Worldwide orphanage and school for deaf children in addition to conducting clinics in several area churches. We will go to an all-inclusive resort on Friday, September 8th to enjoy some rest and relaxation prior to departing the DR on Saturday, September 9th. The team will participate in a local church service on Sunday, conduct daily team devotionals, and share the Gospel message with all clinic patients. We will also conduct eye glass fittings and identify other infrastructure improvements that could be implemented on future trips.

    Have You Served On a previous VIMM Trip?
    If Yes, Previous Trip Location:
    If Yes, Previous Trip Dates:
    Reasons You Would Like to Serve on a Medical Missions Trip:
    Non-medical areas in which you wish to work: Pharmacy:
    Distributing Vitamins & Worm Medicine:
    Crowd Control:
    Documenting the Trip with Photography:
    Documenting the Trip with an Essay:
    Evangelism:
    Praying aloud with patients:
    Sharing your testimony:
    Handing out tracts (will be provided):
    Singing:
    How Did You Hear about VIMM:
    Other description:
    Your Local Newspaper Name:
    Your Local Newspaper Address:
    Airport From which you will be flying:
    Fluent Languages:
    Name exactly as it appears on Passport:
    Passport Number:
    Passport Expiration:
    Passport Authority:
    Country of Citizenship:
    Country of birth:
    Nationality:
    Title
    Title Other:
    First Name:
    Middle Name
    Last Name:
    Street Address:
    City:
    State:
    Zip Code:
    Country:
    Home Phone:
    Cell Phone:
    Email Address:
    Emergency contact Name:
    Emergency contact Phone (day):
    Emergency contact Phone (night):
    Emergency contact relationship:
    2nd Emergency contact Name:
    2nd Emergency contact Phone (day):
    2nd Emergency contact Phone (night):
    Emergency contact relationship:
    Date of Birth
    Gender:
    Marital Status
    Spouse Name:
    Profession:
    Employer:
    Business Phone:
    Shirt Size:
    Shirt Type:
    How would you like your Name Tag to read:

    Every trip participant is enrolled by VIMM in a medical & life insurance plan specifically designed for short-term missionaries.

    Beneficiary:
    Beneficiary relationship:
    Highest Level of Education completed:
    Any physical or emotional disabilities that would affect your trip participation:
    Fluent Languages other than English:
    Allergies:
    Chronic Medical Conditions:
    Chronic Medications:
    Dietary Restrictions:
    Have you traveled overseas?
    Are you able to do without electricity for extended periods of time?
    Are you physically able to carry a 50 pound luggage bag?
    Do you require a private room? (Subject to availability, and at higher cost)
    Church Member
    Church Name:
    Denomination:
    Standards of Conduct
  • Please review the information in all the tabs for accuracy before clicking the "Submit Trip Application"" in the next tab
  • Please print the Pastor Recommendation form on the next page and follow instructions. The signed Pastor recommendation form will need to be submitted to the VIMM office to complete your application registration process.
  • If you do not have a pastor, 2 personal references may be submitted in lieu of the Pastor's Recommendation. The letters of personal recommendation should be written by a non-family member and returned directly to VIMM. In the letter, the person making the recommendation should describe their relationship with you.
  • By clicking the submit button below, you are agreeing to VIMM's Standards of Conduct:


    Standards of Conduct Agreement:

    I understand that Volunteers in Medical Missions (VIMM) is a Christian, interdenominational medical ministry dedicated since 1986 to serving God by providing health and spiritual care to people in medically deprived areas around the world. We are committed to offer healing to the whole person, body, mind and spirit. We desire to use our medical and lay expertise to support the spiritual work of the local host group, thus adding credibility to the gospel.

    I understand that the purpose of the VIMM team is to glorify God.

    I understand that when I travel as a VIMM team member, I represent God, my country, and all other VIMM team members; therefore, I pledge to refrain from any behavior/clothing that might cast doubt on the Christian standards of VIMM or my fellow team members.

    While on a VIMM trip, I will refrain from smoking, consumption of alcoholic beverages, or any behavior that is offensive to VIMM’s in-country hosts or to another team member.

    I understand that if my conduct does not comply with the appropriate standards of conduct as described above, I could be asked by my team leader to leave the team immediately and return home at my own expense.


    Thank you for your willingness to serve and your interest in Volunteers in Medical Missions.

    May God bless you.