Application

This application is very helpful. This information is needed to first clarify and guide you in thinking why you are going and how you will use this experience, and it will also be given to your companion for them to use in choosing hosts and activities while you are in their parish.Most of these questions are taken from the ELCA Companion Handbook, page 75.

Please consider your reasons for going on this Companion Trip and how it will benefit you personally, your congregation, and perhaps your Conference and Synod. This information will be helpful for your companions.

Describe your reasons for wanting to visit your matched parish in the Western Diocese of ELCSA (Evangelical Lutheran Church in Southern Africa): *

Our companion synod relationship is one of accompaniment, i.e. walking together. Please share examples of how this accompaniment might benefit your congregation and deepen your individual and your congregation’s relationship with our brothers and sisters in South Africa. . *

List your travels outside of the United States and your experience, background and skill level in relating in another culture. *

Suggest ways you are interested or might be able to share this experience with other members of your congregation, conference, or synod once you are home (for example, with church or community groups). *

Please share information that will assist your host parish to place you with people who
may share some of your interests.

Your Health Information

Do you have any:
    Allergies?
     Dietary restrictions or food allergies?
    Physical challenges?
    Emotional challenges?

Are you currently under a doctor’s care and/or receiving prescribed medication of which we should be aware? *

Yes No

Have you visited with your doctor about your trip to South Africa and are you up to date on all your immunizations needed for this trip? *

Yes No

Name of emergency contact

APPLICANT REFERENCES

APPLICANTION TO BE SENT TO THE FOLLOWING:

1. Home congregation and pastor - as listed above

Acceptance of Expectations

Dear Bishop Justman,

I have prayerfully considered the opportunity to visit our companion in the Western Diocese including the companion Parish matched with the congregation at which I worship. I understand and agree with the expectations stated on this website. I
will participate in the orientations both in our Synod and in the Western Diocese, and will seek to prepare myself for this participation in the Body of Christ both in learning and appreciating their faith and culture and also in representing my congregation, Conference, Synod, and the ELCA.

Application for Trip to Western Diocese

Two options

Download Application & send or email to Synod Office

Downloadable Application

Application for Wisconsin River Valley Conference (some info already filled)

Online Application
Companion Trip
from the ELCA East Central Synod of Wisconsin
to the ELCSA Western Diocese.
This application establishes your readiness to represent your
congregation, Conference, the East Central Synod of Wisconsin and the ELCA.

Name of emergency contact

APPLICANT REFERENCES

APPLICANTION TO BE SENT TO THE FOLLOWING:

Acceptance of Expectations

Copies will be shared with the Western Diocese
and your companion Circuit and Parish.