Institution Application

School or Orphanage?*

School
Orphanage

Your Name*

Email*

Title*

Name of Institution*

Address of Institution*

County or District*

Are you affiliated with any denomination of other organization?*

Whatsapp number including country code

Number of Students/Residents per age group or grade. Please list below:*

Number of students boarding?*

Number of Staff?*

What is the water source for the school? Please fully describe water source including all details. There is a place to attach picture of water source on the bottom of this form.*

Does your institution have a nurse on staff?*

Yes
No

Do you keep medical records for treatment of students?*

Yes
No

Do you keep specific records on waterborne disease?*

Yes
No

The TBM Mission Statement

The Bucket Ministry’s mission is “Sharing God’s love through the gift of clean, safe drinking water”.

Initials for TBM Mission Statement*

Our Belief Statement

We believe that there is only one true and living eternal God who reveals Himself to us as three unique persons:

God the Father – creator of the heavens and the earth
Jesus Christ the Son of God – born of a virgin, lived a sinless life and died a horrific death on the cross as a sacrifice so that we can be reconciled to God
The Holy Spirit – God as counselor and guide living in us.

We believe the Bible to be the greatest love story ever written assuring us of God’s love for all people. We believe that the Bible is God’s inerrant written word inspired by the Holy Spirit. We believe that God created man in His own image and that He loves us more than we can possibly comprehend. Jesus Christ has proven this love to us by dying on the cross – He defeated death so that we can spend eternity with Him in Heaven. We believe our response to God’s love should be to love Him back with all of our heart, all of our soul, and with all of our mind. And we should also love others even as we love ourselves. We believe that God has uniquely called The Bucket Ministry to share His love through the gift of clean, safe, drinking water; and we believe that our greatest impact–for the benefit of His kingdom–will be achieved as we train and assist other like-minded ministry partners around the world.

Initials for Our Belief Statement*

Our Mission Goals

We exist to proclaim Jesus Christ as Lord and share His Good News to the ends of the earth. We use this filter to do so.

Initials for Our Mission Goals*

Filter care and maintenance

Please understand that the filters need daily cleaning. This is not a suggestion; it is a mandate. Sometimes even based on the quality of water they require care multiple times per day. We have found that many institutions will form a team or club to maintain the filters. TBM will teach and monitor the filters care and maintenance but will not perform daily cleaning.

Initials for Filter Care and maintenance*