SMI Faculty

The SMI 2020 faculty providing teaching during our pandemic version of SMI Philadelphia.

SMI Philadelphia Faculty Information

Join us this year on June 26 – July 17, 2021

SMI Philly Faculty Vision Statement

“But seek the welfare of the city where I have sent you, and pray to the LORD on its behalf, for in its welfare you will find your welfare.” (Jeremiah 29:7)

The Summer Medical Institute (Philadelphia) is a three –week outreach opportunity/urban missions trip in North Philadelphia run by Esperanza Health Center and Medical Campus Outreach.   SMI Philly runs from  June 26-July 17, 2021. The purpose of the outreach is to allow healthcare students the opportunity to learn how their faith can be integrated in the daily practice of medicine.  During the three weeks, students will live and serve in North Philadelphia, providing health screening and teaching to those living in disadvantaged neighborhoods.

We are seeking volunteer faculty members to work alongside the students.  Faculty will primarily provide mentorship and lead by example, though you might also have the opportunity to speak or teach on relevant subjects.  In order to serve as faculty, we are asking that you…

…have a strong testimony of the person and work of Jesus Christ in your own life.
…have a strong relationship with your local body of believers.
…have a background as a healthcare professional or have worked in ministry alongside healthcare professionals in the past.
…have a heart for imparting wisdom to the next generation of healthcare professionals.
…have a heart for the urban poor, especially those within the city of Philadelphia.

During SMI, faculty will join students in daily outreach (community health screening events), for meals, and for Bible study and mentorship.  Potential faculty who indicate an interest in sharing in a more formal setting (i.e. seminar/lecture/talk on various topics) may be asked to speak in the evening or during orientation or debriefing sessions.

Other notes: Most meals will be provided for faculty throughout the length of SMI Philly.  Faculty are asked to arrange their own transportation (non-reimbursable) to and from Philadelphia.  We will do our best to provide childcare; please be sure and let us know it is needed as soon as possible. If serving at SMI is contingent on housing in the Philadelphia area, please contact the SMI Philly director and we will make every effort to accommodate you.

 SMI Forms

Any forms below will be necessary for SMI Faculty to submit. These forms can be downloaded, signed, scanned, and then uploaded in either of the Faculty Applications below.  It is recommended to download, sign and scan before starting to fill out the application so that you have this form ready to submit with your application. If you do not have the ability to scan this form then a signed copy can be handed to the SMI Director when you arrive to teach.

 Returning and New Faculty Applications

If you are interested and feel your gifts would benefit SMI Philly 2021, we invite you to apply by completing the faculty application. Returning faculty members can fill out an abbreviated application.

IMPORTANT: All NEW FACULTY will need to register as a volunteer through Esperanza Health Center as well as RETURNING FACULTY SERVING TWO OR MORE DAYS, which will include providing documentation of all state-required child abuse clearances and background checks. Please leave time to do this, and you can begin the application at any time by going to Esperanza’s volunteer webpage at https://esperanzahealth.com/join-us/volunteering/.

Returning Faculty Application

  • Introduction and Dates

    We are so glad that you are interested in joining the 2021 SMI Philadelphia Team. Please be sure to follow all the steps below to complete your application. SMI Philly will be June 26-July 17th in 2021. Faculty Application Steps: • Read the SMI Faculty Information below • Complete a faculty application. Application deadline: We prefer to have you apply by April 15, but if your work schedule is not provided until a later date, please complete the application and provide us with dates by 6/12/21. IMPORTANT: All faculty serving two or more days will need to also apply as a volunteer with Esperanza Health Center. This process will also require providing all background check/child abuse clearance documents, so getting this done early is helpful. Please begin by visiting the volunteer webpage at https://esperanzahealth.com/join-us/volunteering/ and scroll down to the "Apply to Volunteer" to click on the application link. Thank you for your willingness to serve at SMI!
  • Mission and Overview

    The mission of the Philadelphia Summer Medical Institute is to serve the community through medical outreach and to also equip Christian health profession students (medical, nursing, dental, pharmacy, etc.) to understand the issues of urban health care in low-income communities, teach them to share and integrate biblical principles in their chosen career path and while living in community, to provide them with biblical discipleship and professional mentoring throughout the three week program, ultimately providing them with the tools to impact their communities for Jesus Christ. The SMI is a three-week-long medical outreach for the community and program that teaches students how to integrate faith and career, providing life-changing training and experiences to its participants. Through workshops led by visiting faculty, discipleship groups, bible study, and personal application time, students develop a deeper understanding of biblical medicine while growing in their relationship with Jesus Christ and with their peers. The “lab practicum” is a medical outreach campaign to North Philadelphia. We will be spending the majority of each week going door to door in the community, but will also devote time to theological and ministry training. The summer begins with orientation and training in the areas of health care delivery, research protocol, and cultural issues. While final details are still being worked out, we will most likely be offering hypertension screenings, diabetes risk assessments and body mass index screenings, as well as integrated healthcare training. Integrated into our health survey are questions assessing spiritual needs. These often lead to opportunities to share about God's love and the Gospel. Together with local churches, SMI participants also take part in the spiritual follow-up of the families served, ensuring that those most interested connect with local churches for further spiritual care. We hope that faculty will be part of the door-to-door outreach and the medical and evangelism orientations that we will provide. We also hope that you will "hang out" with the students as much as possible and so participate in life-on-life mentorship and discipleship. You and your families are invited to join us at all meals and weekly activities (although it may not be advisable to take younger children on working outreaches, please talk with the director about this). If you would like to give a talk or lead a study on a certain issue please let us know that as well.
  • SMI 2020 Results

    In the unusual year, unable to perform hands-on health screens, students were divided into teams and assigned to four tasks to support the work of Esperanza Health Center during the pandemic: Missed Patient Registration Updates and Portal Registration (these had overlap in their work), Patient Satisfaction Surveys and Social Determinants of Health Surveys, which worked closely with Dr. Laura Layer, MCO director. They accomplished much: • The Portal and Missed Registration Teams made a total of 716 calls, successfully reaching 275 individuals to update records and newly enrolled 67 patients in the Esperanza Patient Portal. • These two teams also updated hundreds of patients’ data through referencing records. While not recorded collectively, one individual found that she updated 160 patient records during SMI. • Another team completed a total of 140 Patient Satisfaction Surveys. • The Social Determinants of Health Team attempted a total of 231 surveys and completed 194. • Overall, students prayed with over 180 people, and prayed with one person to receive Christ. Thankfully, no participants or their families reported any health issues during SMI or the weeks following.
  • History

    SMI began in 1992 when 35 students primarily from the Medical College of Georgia came to Philadelphia to invest their summer in growing in their faith in Christ while serving the medical and spiritual needs of the North Philadelphia community. Working in partnership with local churches and Esperanza Health Center, an indigenous, non-profit, Christian health center with an aggressive outreach within the Latino community, the SMI addressed in Philly many different medical and spiritual needs over the course of nine summers. SMI participants visited more than 66,000 homes in nine summers in Philadelphia and provided 17,000 immunizations and hundreds of screenings for lead, anemia, diabetes, hypertension and HIV. Participants also saw God bring many people into a relationship with Himself, with thousands more hearing the Gospel and discussing spiritual things. After nine summers in North Philadelphia, the SMI moved to the Rio Grande Valley in 2001. This SMI involved a multifaceted approach to training including a community-based health education and outreach campaign on both sides of the U.S. Mexico border. Since 1992, more than 600 students have graduated from SMI Philadelphia (and another 1,490 from other SMI-styled projects) and have served in more than 50 countries around the world. A vision of the SMI has been to reproduce similar projects around the world and God has raised up people to accomplish this. In recent years there have been similar projects in Augusta, Chicago, Dallas, Peru, San Bernardino, Vancouver, WA, Venezuela, Indonesia, Kenya, Bangladesh, Philippines and most recently in Albania. SMI restarted in Philadelphia in 2010.
  • Funding

    SMI is a non-profit ministry of Medical Campus Outreach in partnership with Esperanza Health Center with a broad-based network of support from individuals, foundations, and churches. While the SMI staff contact alumni and some former supporters, about half of the SMI’s budget comes from individuals whom faculty and student participants choose to contact. As part of the SMI experience, every student joins in the faith-building process of support raising, trusting God to raise $1,400.00 for their ministry. You are welcome to raise money, but it is not required. As a faculty member, you and your family’s weekday meals, local transportation and SMI materials are provided. However, if you are able to make a contribution to cover the cost of your housing (if needed) that would be appreciated. Checks need to be made out to Medical Campus Outreach with SMI/MCO on the memo line and sent to: Medical Campus Outreach, 1701 Delancey St, Philadelphia PA 19103-6714 or donations may be made online. If you are unable to contribute towards housing costs please come anyway!
  • Malpractice

    During SMI we will be doing health screenings, not diagnosing. Although this does not eliminate all theoretical liability risk, it reasonably removes the practical need for medical malpractice insurance. Therefore, it is not necessary to have medical malpractice insurance to participate in SMI. You will not be covered under Esperanza’s malpractice coverage. You may check with your own malpractice carrier if they will cover you, but malpractice coverage is not necessary for SMI.
  • SMI and the Pandemic

    Particularly in 2021, we are aware that our typical program may be greatly affected by the pandemic. Under the most restrictive guidelines (as in the summer of 2020), faculty involvement may be limited to teaching, speaking opportunities, opportunities to eat with or mentor the students one-on-one or task supervision under any current guidelines. While we hope to see more opportunities for work in the community in the summer of 2021, we will not be able to determine the details of our tasks until later in the spring. Please feel free to complete the application ahead of time, if you prefer, and we will keep you updated with our faculty opportunities regularly as we receive more information. Thank you!
  • Background Information

  • Date Format: MM slash DD slash YYYY
    Please indicate your week of preference; while we believe that your experience will be more rewarding if you are able to participate for a week or over several days, we realize that many people’s schedules may not accommodate this. If availability during one week is not applicable, please let us know which day/date or combination of dates you may be available in the field below. Sundays are not outreach working days. Thank you!
  • Statement of Faith

    IMPORTANT! PLEASE READ THIS BEFORE YOU SUBMIT YOUR APPLICATION! What a person believes is the foundation for both life and ministry. The following are Christian tenets to which the SMI leadership ascribes. If you disagree with any of these, please explain your differences in the paragraph field below.
  • 1. The Bible is the inspired, infallible, inerrant Word of God. (2 Tim. 3:15-17) 2. There is one God, eternally existent in three persons: Father, Son and Holy Spirit. (John 10:30) 3. These are central truths of the Christian faith: The deity of our Lord Jesus Christ, His virgin birth, His sinless life, His miracles, His vicarious and atoning death through His shed blood, His bodily resurrection, His ascension to the right hand of the Father, and His personal return in power and glory. (Jn 1:1-5; Phil. 2:5-11, 1 Cor 15:1-6) 4. Believing in the person and work of Jesus Christ alone results in salvation; Jesus Christ is the only way of salvation. (Titus 3:4-7; Eph. 2:8-9; John 14:6; Acts 4:12) 5. The Holy Spirit's present ministry and indwelling enables the Christian to live in fellowship with God. (Gal. 5:16-23; I John 1:3-4). In addition, the commitment of the Summer Medical Institute is “to serve and not to be served.” Serving in ministry means you sometimes submit to the needs of others even in areas of biblical freedom. Paul is a model of this (Romans 14 – 15:6). Serving with the SMI means you agree to the following: 1. I am willing to set aside personal preferences to fulfill the ministry of the SMI. 2. I understand there are variations in practice and understanding of Scripture in some areas of Christian living. In serving with SMI, I will abide by the standards of the SMI in all areas including dress, entertainment, activities, etc. This includes a willing agreement to abstain from the use of alcohol, drugs, and tobacco while present at SMI, and being sensitive to cultural, regional, church and SMI expectations and standards. 3. I will seek to provide excellent medical care and to present Jesus Christ as Lord and Savior. 4. BY MY SIGNATURE BELOW, in the "Typed Signature" field, I indicate I am in agreement with all described statements (if there are any disagreements, please describe in the paragraph field directly below).
  • This is a legal release for Medical Campus Outreach (a ministry of Tenth Presbyterian Church) to take and use photos and video in publicity materials. MCO may also be recording SMI teaching sessions and parts of the program for posting as educational resources or for promotional purposes. Participation in the event is your consent to having your image or voice used on our website, social media, and video sharing platforms: In consideration of my engagement as a model, upon the terms herewith stated, I hereby give Tenth Presbyterian Church (hereafter TPC), TPC’s legal representatives and assigns, those for whom the TPC photographer is acting, and those acting with TPC’s authority and permission: a) the unrestricted right and permission to copyright and use, re-use, publish, and republish photographic portraits, pictures or video of me or in which I may be included intact or in part, composite or distorted in character or form, without restriction as to changes or transformations in conjunction with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for illustration, art, promotion, advertising, trade, or any other purpose whatsoever. b) I also permit the use of any printed material in connection therewith. c) I hereby relinquish any right that I may have to examine or approve the completed product or products or the advertising copy or printed matter that may be used in conjunction therewith or the use to which it may be applied. d) I hereby release, discharge and agree to save harmless TPC, TPC’s legal representatives and assigns, those for whom the TPC photographer is acting, and those acting with TPC’s authority and permission, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy. e) I hereby affirm that I am over the age of majority and have the right to contract in my own name. I have read the above authorization, release and agreement, prior to its execution; I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assigns. *Personal information will not be made public*. BY TYPING MY NAME IN THE FIELD BELOW I GIVE MY CONSENT:
  • Liability Release

    If you are accepted, we will need to have a PDF copy/physical copy of the liability release (blank copy above the form available to download), complete with your actual signature on it. You may download the document here, sign it, scan it and then upload it with your application so that it's already on file with us. You may also receive and sign the document when you arrive to help at SMI, but getting it done in advance is definitely very helpful to us!
  • Accepted file types: pdf.
    Please upload your scanned, signed copy of the 2021 Liability Release Form.

New Faculty Application

  • Introduction and Dates

    We are so glad that you are interested in joining the 2021 SMI Philadelphia Team. Please be sure to follow all the steps below to complete your application. SMI Philly will be June 26-July 17th in 2021. Faculty Application Steps: • Read the SMI Faculty Information below • Complete a faculty application. Application deadline: We prefer to have you apply by April 15, but if your work schedule is not provided until a later date, please complete the application and provide us with specific dates by 6/12/21. IMPORTANT: All new faculty serving will need to also apply as a volunteer with Esperanza Health Center. This process will also require providing all background check/child abuse clearance documents, so getting this done early is helpful. Please begin by visiting the volunteer webpage at https://esperanzahealth.com/join-us/volunteering/ and scroll down to the "Apply to Volunteer" to click on the application link. Thank you for your willingness to serve at SMI!
  • Mission and Overview

    The mission of the Philadelphia Summer Medical Institute is to serve the community through medical outreach and to also equip Christian health profession students (medical, nursing, dental, pharmacy, etc.) to understand the issues of urban health care in low-income communities, teach them to share and integrate biblical principles in their chosen career path and while living in community, to provide them with biblical discipleship and professional mentoring throughout the three week program, ultimately providing them with the tools to impact their communities for Jesus Christ. The SMI is a three-week-long medical outreach for the community and program that teaches students how to integrate faith and career, providing life-changing training and experiences to its participants. Through workshops led by visiting faculty, discipleship groups, bible study, and personal application time, students develop a deeper understanding of biblical medicine while growing in their relationship with Jesus Christ and with their peers. The “lab practicum” is a medical outreach campaign to North Philadelphia. We will be spending the majority of each week going door to door in the community, but will also devote time to theological and ministry training. The summer begins with orientation and training in the areas of health care delivery, research protocol, and cultural issues. While final details are still being worked out, we will most likely be offering hypertension screenings, diabetes risk assessments and body mass index screenings, as well as integrated healthcare training. Integrated into our health survey are questions assessing spiritual needs. These often lead to opportunities to share about God's love and the Gospel. Together with local churches, SMI participants also take part in the spiritual follow-up of the families served, ensuring that those most interested connect with local churches for further spiritual care. We hope that faculty will be part of the door-to-door outreach and the medical and evangelism orientations that we will provide. We also hope that you will "hang out" with the students as much as possible and so participate in life-on-life mentorship and discipleship. You and your families are invited to join us at all meals and weekly activities (although it may not be advisable to take younger children on working outreaches, please talk with the director about this). If you would like to give a talk or lead a study on a certain issue please let us know that as well.
  • SMI 2020 Results

    In the unusual year, unable to perform hands-on health screens, students were divided into teams and assigned to four tasks to support the work of Esperanza Health Center during the pandemic: Missed Patient Registration Updates and Portal Registration (these had overlap in their work), Patient Satisfaction Surveys and Social Determinants of Health Surveys, which worked closely with Dr. Laura Layer, MCO director. They accomplished much: • The Portal and Missed Registration Teams made a total of 716 calls, successfully reaching 275 individuals to update records and newly enrolled 67 patients in the Esperanza Patient Portal. • These two teams also updated hundreds of patients’ data through referencing records. While not recorded collectively, one individual found that she updated 160 patient records during SMI. • Another team completed a total of 140 Patient Satisfaction Surveys. • The Social Determinants of Health Team attempted a total of 231 surveys and completed 194. • Overall, students prayed with over 180 people, and prayed with one person to receive Christ. Thankfully, no participants or their families reported any health issues during SMI or the weeks following.
  • History

    SMI began in 1992 when 35 students primarily from the Medical College of Georgia came to Philadelphia to invest their summer in growing in their faith in Christ while serving the medical and spiritual needs of the North Philadelphia community. Working in partnership with local churches and Esperanza Health Center, an indigenous, non-profit, Christian health center with an aggressive outreach within the Latino community, the SMI addressed in Philly many different medical and spiritual needs over the course of nine summers. SMI participants visited more than 66,000 homes in nine summers in Philadelphia and provided 17,000 immunizations and hundreds of screenings for lead, anemia, diabetes, hypertension and HIV. Participants also saw God bring many people into a relationship with Himself, with thousands more hearing the Gospel and discussing spiritual things. After nine summers in North Philadelphia, the SMI moved to the Rio Grande Valley in 2001. This SMI involved a multifaceted approach to training including a community-based health education and outreach campaign on both sides of the U.S. Mexico border. Since 1992, more than 600 students have graduated from SMI Philadelphia (and another 1,490 from other SMI-styled projects) and have served in more than 50 countries around the world. A vision of the SMI has been to reproduce similar projects around the world and God has raised up people to accomplish this. In recent years there have been similar projects in Augusta, Chicago, Dallas, Peru, San Bernardino, Vancouver, WA, Venezuela, Indonesia, Kenya, Bangladesh, Philippines and most recently in Albania. The SMI restarted in Philadelphia in 2010.
  • Funding

    SMI is a non-profit ministry of Medical Campus Outreach in partnership with Esperanza Health Center with a broad-based network of support from individuals, foundations, and churches. While the SMI staff contact alumni and some former supporters, about half of the SMI’s budget comes from individuals whom faculty and student participants choose to contact. As part of the SMI experience, every student joins in the faith-building process of support raising, trusting God to raise $1,400.00 for their ministry. You are welcome to raise money, but it is not required. As a faculty member, you and your family’s weekday meals, local transportation and SMI materials are provided. However, if you are able to make a contribution to cover the cost of your housing (if needed) that would be appreciated. Checks need to be made out to Medical Campus Outreach with SMI/MCO on the memo line and sent to: Medical Campus Outreach, 1701 Delancey St, Philadelphia PA 19103-6714 or donations may be made online. If you are unable to contribute towards housing costs please come anyway!
  • Malpractice

    During SMI we will be doing health screenings, not diagnosing. Although this does not eliminate all theoretical liability risk, it reasonably removes the practical need for medical malpractice insurance. Therefore, it is not necessary to have medical malpractice insurance to participate in SMI. You will not be covered under Esperanza’s malpractice coverage. You may check with your own malpractice carrier if they will cover you, but malpractice coverage is not necessary for SMI.
  • SMI and the Pandemic

    Particularly in 2021, we are aware that our typical program may be greatly affected by the pandemic. Under the most restrictive guidelines (as in the summer of 2020), faculty involvement may be limited to teaching, speaking opportunities, opportunities to eat with or mentor the students one-on-one or provide task supervision under any current guidelines. While we hope to see more opportunities for work in the community in the summer of 2021, we will not be able to determine the details of our tasks until later in the spring. Please feel free to complete the application ahead of time, if you prefer, and we will keep you updated with our faculty opportunities regularly as we receive more information. Thank you!
  • Background Information

    Please indicate your week of preference; while we believe that your experience will be more rewarding if you are able to participate for a week or over several days, we realize that many people’s schedules may not accommodate this. If availability during one week is not applicable, please let us know which day/date or combination of dates you may be available in the field below. Sundays are not outreach working days. Thank you!
  • Short Answer

  • References

  • Statement of Faith

    IMPORTANT! PLEASE READ THIS BEFORE YOU SUBMIT YOUR APPLICATION! What a person believes is the foundation for both life and ministry. The following are Christian tenets to which the SMI leadership ascribes. If you disagree with any of these, please explain your differences in the paragraph field below.
  • 1. The Bible is the inspired, infallible, inerrant Word of God. (2 Tim. 3:15-17) 2. There is one God, eternally existent in three persons: Father, Son and Holy Spirit. (John 10:30) 3. These are central truths of the Christian faith: The deity of our Lord Jesus Christ, His virgin birth, His sinless life, His miracles, His vicarious and atoning death through His shed blood, His bodily resurrection, His ascension to the right hand of the Father, and His personal return in power and glory. (Jn 1:1-5; Phil. 2:5-11, 1 Cor 15:1-6) 4. Believing in the person and work of Jesus Christ alone results in salvation; Jesus Christ is the only way of salvation. (Titus 3:4-7; Eph. 2:8-9; John 14:6; Acts 4:12) 5. The Holy Spirit's present ministry and indwelling enables the Christian to live in fellowship with God. (Gal. 5:16-23; I John 1:3-4). In addition, the commitment of the Summer Medical Institute is “to serve and not to be served.” Serving in ministry means you sometimes submit to the needs of others even in areas of biblical freedom. Paul is a model of this (Romans 14 – 15:6). Serving with the SMI means you agree to the following: 1. I am willing to set aside personal preferences to fulfill the ministry of the SMI. 2. I understand there are variations in practice and understanding of Scripture in some areas of Christian living. In serving with SMI, I will abide by the standards of the SMI in all areas including dress, entertainment, activities, etc. This includes a willing agreement to abstain from the use of alcohol, drugs, and tobacco while present at SMI, and being sensitive to cultural, regional, church and SMI expectations and standards. 3. I will seek to provide excellent medical care and to present Jesus Christ as Lord and Savior. 4. BY MY SIGNATURE BELOW, in the "Typed Signature" field, I indicate I am in agreement with all described statements (if there are any disagreements, please describe in the paragraph field directly below).
  • Liability Release

    If you are accepted, we will need to have a pdf copy/physical copy of the liability release (blank copy above the form available to download), complete with your actual signature on it. You may download the document here, sign it, scan it and then upload it with your application so that it's already on file with us. You may also receive and sign the document when you arrive to help at SMI, but getting it done in advance is definitely very helpful to us!
  • Accepted file types: pdf.
    Please upload your signed and scanned PDF copy of the 2021 Liability Release Form.
  • This is a legal release for Medical Campus Outreach (a ministry of Tenth Presbyterian Church) to take and use photos and video in publicity materials. MCO may also be recording SMI teaching sessions and parts of the program for posting as educational resources or for promotional purposes. Participation in the event is your consent to having your image or voice used on our website, social media, and video sharing platforms: In consideration of my engagement as a model, upon the terms herewith stated, I hereby give Tenth Presbyterian Church (hereafter TPC), TPC’s legal representatives and assigns, those for whom the TPC photographer is acting, and those acting with TPC’s authority and permission: a) the unrestricted right and permission to copyright and use, re-use, publish, and republish photographic portraits, pictures or video of me or in which I may be included intact or in part, composite or distorted in character or form, without restriction as to changes or transformations in conjunction with my own or a fictitious name, or reproduction hereof in color or otherwise, made through any and all media now or hereafter known for illustration, art, promotion, advertising, trade, or any other purpose whatsoever. b) I also permit the use of any printed material in connection therewith. c) I hereby relinquish any right that I may have to examine or approve the completed product or products or the advertising copy or printed matter that may be used in conjunction therewith or the use to which it may be applied. d) I hereby release, discharge and agree to save harmless TPC, TPC’s legal representatives and assigns, those for whom the TPC photographer is acting, and those acting with TPC’s authority and permission, from any liability by virtue of any blurring, distortion, alteration, optical illusion, or use in composite form whether intentional or otherwise, that may occur or be produced in the taking of said picture or in any subsequent processing thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy. e) I hereby affirm that I am over the age of majority and have the right to contract in my own name. I have read the above authorization, release and agreement, prior to its execution; I fully understand the contents thereof. This agreement shall be binding upon me and my heirs, legal representatives and assigns. *Personal information will not be made public*. BY TYPING MY NAME IN THE FIELD BELOW I GIVE MY CONSENT:

“You then, be strengthened by the grace that is in Christ Jesus, and what you have heard from me in the presence of many witnesses entrust to faithful men who will be able to teach others also.”  (II Timothy 2:2)