Prompt Title

It is through generous givers like you that we are able to continue our ministry.

MAKE A DONATION

Service and Learning Information for 2024

ONLINE APPLICATION at the bottom of this page. Application will be submitted and JFA will contact you.

Click here for the PDF form

1. Download the form

2. Print the form

3. Send the form to

Justice For All

1335 Valley Dr.

Rock Valley, IA 51247

JFA has been partnering with local ministries and churches working in poor and under-resourced communities and neighborhoods for almost 40 years! God is working through these local ministries in amazing & powerful ways and we have the privilege of becoming part of that work for a week. All skill levels are welcome. If you are willing to answer His call-then God will use you!

Trip Locations, Dates, and Cost

Harvest Hands Ministries, Juarez, MX: January 20-26 ($450/person)

John & Vera Mae Perkins Foundation, Jackson, MS: February 03-09 ($300/person)

Voice of Calvary, Jackson, MS: February 10-16 ($300/person)

Grace Covenant Ministries, Annville, KY: March 02-08 ($350/person)

Grace Reigns Ministries, Colorado City, AZ/Hildale, UT: March 16-22 ($400/person)

Contact Justice for All at 712.476.2804 with questions or interest.

Service & Learning Online Application

Review and fill out the form for service & learning trip information

Name(Required)

First Middle Last

(As shown on passport/birth certificate)

Date of Birth MM/DD/YYYY(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Email

T shirt size(Required)

(just click on the down arrow off to the right)

Service and Learning Mission Trip(Required)

Please select from the following service and learning mission trips that you are applying for (just click on the down arrow off to the right)

Skills(Required)

Please indicate areas of expertise. Examples include carpentry, electrical, painting, etc.

Transportation(Required)

Please indicate if you will be driving or flying. If flying, JFA will attempt to arrange for similar flight departure/arrival.

Medical Conditions/Allergies(Required)

Indicate if there are medical conditions List Allergies If none, please indicate

Emergency Contact for the JFA(Required)

Emergency Contact First Name Last Name

Emergency Contact Phone Number(Required)

Medical Insurance Coverage(Required)

I have read and agree to the following

I authorize the director or designee of Justice For All to make any medical or other emergency decision if the above emergency contact cannot be reached

Insurance Coverage(Required)

I have read and agree to the following

I have adequate insurance coverage for incidentals with my volunteer activities

Parent/Legal Guardian consent, for volunteers under the age of 18

I have read and agree to the following if applicable

I have adequate insurance coverage for situations that could arise from incidentals with my minor volunteer activities. I authorize the director or designee of Justice For All to make any medical or other emergency decision if I cannot be reached. I have read this agreement in its entirety and attest to the accuracy of all information provided.

Waiver of Liability for Justice For All(Required)

I have read and agree to the following

• I understand that Justice For All NW Iowa Chapter (JFA) is a Christian organization, committed to demonstrating God’s love through word and deed. I agree to treat each individual I come into contact with, whether fellow volunteer employee, or one of the many individuals JFA strives to help, with dignity and respect.
• I am capable of performing the duties required on this assignment to the best of my knowledge and according to most recent reports from my physician.
• I will hold JFA harmless should I become injured traveling to or from a project site. At times JFA organizes travel plans. I understand that travel plans may change, and these changes may impact my participation in JFA work trip. I do not hold JFA responsible if travel plans change, and I am not able to go on the JFA work trip.
• I acknowledge and understand that there are risks connected to the volunteer activities I will be performing, and that serious injuries or illness occasionally occur to persons performing these services. These risks include but are not connected to physical or mental harm. By electronically agreeing or physically signing, I am agreeing to (i) ASSUME ALL RISKS and (ii) WAIVE AND RELEASE ANY AND ALL CLAIMS, DEMANDS, AND CAUSES OF ACTION, INCLUDING FOR PERSONAL INJURY, ILLNESS, PAIN, SUFFERING, and ECONOMIC DAMAGES against JFA that I have experienced and/or might experience in the future (whether known or unknown, anticipated, unanticipated) as a result of my participation in volunteer activities or services for and on behalf of JFA or its partner agencies and/or affiliates. For purposes of this waiver, Justice for All NW Iowa Chapter shall include JFA, its affiliates and their officers, directors, employees, agents, volunteers, individual clients, and property owners where volunteers are housed, or where work is performed. This waiver applies to me and to any person who could make a claim on my behalf, including without limitation, my heirs, beneficiaries, personal representatives, and next of kin.
• I forfeit all right to bring a suit for damages against JFA for any damages incidental to volunteer activities. In return, I will receive the opportunity to volunteer for JFA. I will also make every effort to obey safety precautions as listed in writing and as explained to me verbally. I will ask for clarification when needed.
• I agree to hold JFA harmless from any and all liability, including financial responsibility for injuries incurred, regardless of whether injures are caused by negligence, excluding any gross negligence or misconduct.

I HAVE READ THE TERMS OF THIS AGREEMENT, UNDERSTAND IT, AND ENTER INTO IT VOLUNTARILY.

Consent

I HAVE READ THE TERMS OF THIS AGREEMENT, UNDERSTAND IT, AND ENTER INTO IT VOLUNTARILY.

Name

First Last

Date

CAPTCHA

Prompt Title

Service and Learning Information for 2024

ONLINE APPLICATION at the bottom of this page. Application will be submitted and JFA will contact you.

Click here for the PDF form

1. Download the form

2. Print the form

3. Send the form to

Justice For All

1335 Valley Dr.

Rock Valley, IA 51247

Trip Locations, Dates, and Cost

Harvest Hands Ministries, Juarez, MX: January 20-26 ($450/person)

John & Vera Mae Perkins Foundation, Jackson, MS: February 03-09 ($300/person)

Voice of Calvary, Jackson, MS: February 10-16 ($300/person)

Grace Covenant Ministries, Annville, KY: March 02-08 ($350/person)

Grace Reigns Ministries, Colorado City, AZ/Hildale, UT: March 16-22 ($400/person)

Contact Justice for All at 712.476.2804 with questions or interest.

Harvest Hands Ministry

John & Vera Mae Perkins Foundation (JMPF)

Voice of Calvary Ministries Jackson, MS

Grace Covenant Ministries Annville, KY

Grace Reigns Colorado City, AZ/Hildale, UT

Service & Learning Online Application

I HAVE READ THE TERMS OF THIS AGREEMENT, UNDERSTAND IT, AND ENTER INTO IT VOLUNTARILY.

Voice of Calvary Ministries
Jackson, MS

Grace Covenant Ministries
Annville, KY

Grace Reigns
Colorado City, AZ/Hildale, UT