Baylor University



Baylor University Missions STUDENT ORG Mission Trip Proposal PacketTURN IN CHECKLISTTeam Name: _BUMissions: COUNTRY ORGANIZATION ex. India Alpha Beta Gamma Team Faculty/Staff Trip Leader(s): _*this is the F/S leader for your trip NOT the student leader EMAIL the following to NO LATER THAN SEPT. 18th!holly_widick@baylor.edu (Assistant Director for Missions)Mission Trip Proposal Packet General Trip InformationItineraryDetailed Risk AssessmentSupplemental Risk Assessment Documentation (3 things!)International SOS (2 reports: Medical AND Security!) : International SOS (Member number is 11ASGC000003) ISOSGo to ISOS website and login using the member number.Under “Medical Tools”, select your country under “Country Guides” (pop-up blocker will have to be temporarily disabled). Click “Print/E-mail Report” on left navigation pane. “Select all,” then click “Create Report”. It will take you to an option to email report.Click “Print” icon located on the mid left of the screen. Go back to initial page. Under “Security Tools”, select your country. Go to left navigation pane and print the security material provided for your country.United States Department of State Bureau of Consular Affairs (Map AND Country Specific Information) for Disease Control (for travelers) University Missions STUDENT ORG Missions Trip ProposalF/S Trip Leader Making Proposal: _*this is the F/S leader for your trip NOT the student leaderInvolved Student Organization: Baylor Missions AND ALPHA BETA GAMMAName of Mission Trip: BUMissions: COUNTRY ORGANIZATION ex. India Alpha Beta Gamma TeamProposed Semester and Year: May Minimester 2016Proposed Travel Dates: Depart: 05/18/2016Return: 06/1/2016Missions Trip Proposal(Please use this form as an outline for your proposal and feel free to include any supporting documentation that would be helpful as this trip is reviewed.)GENERAL TRIP INFORMATIONI have read and agree with the Mission Trip Leader Manual and the Missions Covenant (pg.8) (Can be found here: Trip Leader’s (digitally) initial here: ____sign here!__________________F/S Trip Leader’s Contact Information (Name, Email, Phone number, and Department): Lady Bear, lady_bear@baylor.edu, 765-5555; Department of Baylor PrideStudent Leader(s)’s Contact Information (Name, Email, Phone number, Position):Bruiser DelOso bruiser_deloso@baylor.edu, 254-555-1234; VP for Recruitment for Alpha Beta Gamma Fraternity Student Organization Sponsoring Trip:Alpha Beta Gamma FraternityProposed Departure Travel Date:May 18, 2016 (Day you leave TX)Proposed Returning Travel Date:May 31, 2016 (date you return to TX, not necessarily the day you’ll leave host country)All Destination Cities and Countries:Hyderabad, IndiaDistance (in miles) between Baylor and destination (find on a website like this ):8301.45 milesInternational SOS Medical Risk Rating for Destination(s) (Go to ISOS website, , log in using Baylor's code 11ASGC000003. A new window will open. Select the main destination country on the Medical Tools area (Country Guides) on the right side of the screen. The medical rating will be located at the top of a new pop up window. If the new windows do not appear please check to see if your web browser is blocking the new windows from appearing or "popping-up".):HIGHInternational SOS Security Risk Rating for Destination(s) (Go to ISOS website, , log in using Baylor's code 11ASGC000003. A new window will open. Select the destination country in the Security Tools section on the right side of the screen. The safety rating will be located at the top of a new pop up window.) :MediumIs there a Department of State Warning for your Destination(s)? (Check here: noNOTE: Be aware that if any of your destinations are considered “HIGH” risk or have a travel warning, there will be a more extensive review process and your trip will need approval by the University President.Who is your Student Organization Advisor? Are they also the F/S Trip Leader for this team?D.R. Pepper, Ph.D.Who is the Department Chair/Supervisor for the F/S Trip Leader?Rufus BurlesonProposed Number of Students:15Proposed Number of Faculty:1Proposed Number of Staff:0Proposed Number of Guests (this includes alumni & other non-Baylor participants):* ALL GUESTS MUST BE PRE-APPROVED BY BUMISSIONS 0Proposed Number of Dependents (participants under the age of 18):0Select mode of transportation from Waco to Destination (ie. chartered bus, etc.):commercial airSelect mode of transportation in destination countries/cities (i.e. commercial air, chartered bus, etc.)charter busActivities that will be taking place during this program (Ex: Students will be working with orphans, painting houses, running clinics, touring museums, etc.):teaching aids at elementary school, soccer camps, and tourism activitiesAre you working with another team/discipline/organization at Baylor?nonePlease describe your planned in-country partnerships and projects:Impact Community India Local (In-Country) Contacts (Organization/Position, Phone numbers, Addresses, E-mail Addresses):Regina Sudheer Alexander (Impact Community India, Co-Founder). 001-01-0011-00; abcdefg@Housing Plans (name of housing, Phone numbers, Addresses, E-mail Addresses/website):LotusHouse Resort, Madhira, bookings@Meal Plans:We will eat breakfast at the hotel and all other meals prepared sack lunches or commercial restaurants approved/vetted by our in-country contactsProposed Itinerary (Places, Contacts, Duration of Stay):18 May – Depart USA19 May – Traveling20 May – Arrive in India21 May – Ministry at madhira primary22 May – Ministry at madhira primary23 May – Ministry at madhira primary 24 May – Tourism (Vijayawada)25 May – Church in Vijayawada, Culture Dance 26 May – Work with PDN in madhira27 May – Work with PDN in madhira28 May – Work with PDN in madhira29 May – Tourism (Hyderabad)30 May – Depart India31 May – Arrive in WacoDescribe structure of program leadership (to include primary faculty/staff leader and alternate leadership (student leaders or in-country contacts), and experience of leadership):Mrs. Bear will serve as the primary leader for the trip; DelOso will provide secondary leadership. If Bear is unable to perform leadership duties, local contacts will assist DelOso in leadership of the TeamDescribe what you are hoping for your students to gain from this experience (Purpose of Mission Trip):Create tangible opportunities for students to serve through their academic disciplinesAllow students to reflect on how God might use their knowledge & skills to make a difference in the worldProvide venues to experience & learn from another cultureConnect students to what God is doing in & around the world“Educate men and women for worldwide leadership and service by integrating academic excellence and Christian commitment within a caring community”How will you be promoting and recruiting for this trip?announcements at chapter meetings; one-on-one recruitment Describe program funding (including how the program is funded and who will be compensated)Students are responsible for fundraising & payments of their individual cost. Baylor Missions will cover the cost of team leader(s). We will primarily use support letters to family and alumni; fundraiser dinner; car wash; fro-yo non-profit night.FIRST TIME FACULTY/STAFF LEADERS (Complete this portion if this is your first time leading a Baylor mission trip.)Describe your philosophy of missions:Click here to enter text.Please provide three references, including names, titles, e-mails, and phone numbers (Preferably people who are familiar with your work at Baylor):Click here to enter text.Risk AssessmentReview the information provided on the following resource websites, print it out, and attach it to this proposal.International SOS (Member number is 11ASGC000003) ISOSGo to ISOS website and login using the member number.Under “Medical Tools”, select your country under “Country Guides” (pop-up blocker will have to be temporarily disabled). Click “Print/E-mail Report” on left navigation pane. “Select all,” then click “Create Report”. It will take you to an option to email report.Click “Print” icon located on the mid left of the screen. Go back to initial page. Under “Security Tools”, select your country. Go to left navigation pane and print the security material provided for your country.United States Department of State Bureau of Consular AffairsUnited States Department: for Disease ControlCenter for Disease Control: the “Risk Assessment” form (below) based on your research. don’t forget to sign below!!!!!*how’d we figure out the part below?! the answers are on the ISOS print out!!Risk Assessment Form (Based on ISOS Information)Name of Program: BUMissions India Alpha Beta Gamma Mission Trip??Destination Country(ies): India??Date of Departure: 05/18/2016 Date of Return: 05/31/2016??Completed By: _____________________________________Joy Bear 08/12/16? (Signature) (Please Print) ? (Date) ????Note: Risk Categories listed below must be assessed but each travel event and destination is unique and may require assessment of additional risks contingent upon activities and specific locations.?Risk CategoryRiskRisk Prevention or Risk Control StrategyMedical??? Standard of Health Care? Medium?Work with partners in-country to identify appropriate medical professionals if necessary. Also, students will be required to have vaccinations for yellow fever and immunizations recommended by the CDC prior to departure.? Medication Availability? Low? Students will travel with individuals’ prescription medications; if additional medication is needed, we will contact ISOS for information about ? Contagious Disease? HighRequire all students ?to receive vaccinations and take appropriate malaria medications. Also, all students will be provided netting for bedding and mosquito repellant.? ???Food/Water/Beverages ????? MediumRequire students to only consume bottled water and eat food provided from approved vendors??Travel/Transportation??? Public Buses?NoneWe will not use public buses?? Taxi Services?None?We will not use taxi services? Hire vehicle with driver?LowOur partners in country have long-standing relationships with several safe vendors?? Public Trains/Subways?NoneWe will not use public transit.?? Emergency Transportation?LowWhile there are no ambulance services, we will primarily be in major urban centers where medical facilities are readily available.?? Driving Safety?NoneWe will hire experienced drivers recommended by in-country partners?????Lodging??? ?MediumWe will use a hotel that provides that highest level of security and whom our partners have experience with.??Crime/Personal Safety??? Petty Crime (ex. theft)Medium?Students will not travel alone and we will restrict our activities to areas where this risk is minimal?; students will be encouraged to not carry valuables with them and to keep $ and valuables close to their person.? Violent Crime (ex. robbery, assault) Low?We will follow Baylor’s emergency action plan in case of this emergency? Kidnap/Ransom?Low?We will follow Baylor’s emergency action plan in case of this emergency????Conflict/Threat?? Terrorism?Low? We will follow Baylor’s emergency action plan in case of this emergency? Civil Unrest?LowWe will avoid any political events and not speak about any political issues.?? Political Upheaval?LowWe will follow Baylor’s emergency action plan in case of this emergency? Natural Disaster?LowWe will follow Baylor’s emergency action plan in case of this emergency? Information Technology?Low?All students will be required to have a cell-phone with them at all times.? ................
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