NOMADs Member Application

General Info

Household Name (Example: John and Mary Doe, or John Doe and Mary Smith)

Member 1 Last Name

Member 1 First Name

Member 2 Last Name

Member 2 First Name

Number in household

Email and Phones

Email 1

Email 2

Home Phone

Cell 1

Cell 2

Address 1 Same as Address 2

Please enter a valid mailing address as we will be shipping items to you upon completion of your membership.

Address 1

City

State

Zip

Country

Address 2 Same as Address 1

Address 2

City

State

Zip

Country

Address 2 purpose

Personal Info

Mbr 1 birth year

Mbr 2 birth year

Home Church

Church City

Church State

Own or have access to an RV (You must have an RV to join)

Yes No

RV Type

RV make/model

RV Length

Do you have slide outs on both sides of the RV

Yes No

RV additional information

If you have a motorhome, do you also bring a tow vehicle

Yes No

Do you travel with pets that go outside the RV

Yes No

How many dogs travel with you

Fulltime RVer

Yes No

Home State

Chronic health issues prevent project participation-member 1

Yes No

Chronic health issues prevent project participation-member 2

Yes No

Application Details

Motivation for joining NOMADS

Mission Experience

Referring NOMADS member

Life experiences - job related

Life experiences - hobbies

Name(s) for badges

Membership Criteria Questions (Please review each one and answer or check all that apply to you)

Understand this is a Christian organization and agree to attend morning devotions

Understand that our conduct as NOMADS should reflect Christian principles

Agree that only those on this application will be residing in the RV while on a NOMADS project site

Agree visitors and guests are only allowed on project as specified in NOMADS policies

Understand alcohol is not part of NOMADS activities

Whether or not I have pets, I agree to abide by all pet rules at each NOMADS project/function. Some sites do not allow pets

Agree to abide by all of the rules of the project hosting agency

Realize that things may change and agree to be flexible

Understand RV parking will be provided during projects, but may vary in quality from project to project

Commit to follow the guidance of the NOMADS project leader

Understand that all NOMADS members on projects are expected to work as health permits

Physical limitations: Head of household has limitations

Yes No

Physical limitations: Head has a serious medical condition(s)

Yes No

Physical limitations: Spouse has limitations

Yes No

Physical limitations: Spouse has a serious medical condition(s)

Yes No

Agree to work within my capabilities

Member Skills

Member 1 Basic Skills

Member 1 Advanced Skills

Skill Notes for Member 1

Member 2 Basic Skills

Member 2 Advanced Skills

Skill Notes for Member2

By submitting this application I/we, certify as follows:

That the information submitted in this form is true and correct.
That I/we agree to follow the NOMADS guidelines and cooperate with any team leader and agency contact person,
That I/we agree to share the Christian faith and uphold the values of The United Methodist Church in a manner which is appropriate, and
That I/we release and hold harmless the General Board of Global Ministries of The United Methodist Church, the United Methodist NOMADS and the directors there of, and any agency for whom NOMADS does work, from; (a) any liability which may be incurred as a result of my/our actions while acting as a member of NOMADS. A copy of this Certification and Release is held in the office of the NOMADS Administrator.