Chi Alpha Mission Trip Application

Chi Alpha Mission Trip Application

Applications are Due by 11:59pm on November 21st! Please also plan for a Missions Training Day on the morning of February 22nd!
General Information
Name

First NameLast Name
Trip Applying For: (*note: there is a $50 deposit for each trip you are applying for, you can complete the application just one time, and it may be turned in before paying a deposit!)

MGO (Texas Tech) - FEB. 28TH - MAR. 4THATLANTA - Pure Hope Church - APR. 21ST - 25THPERU - MAY 18TH - 28TH (dates are tentative)GUATEMALA - JUNE 22ND - JUNE 29TH
Email
example@example.com
Phone Number
Please enter a valid phone number.
Classification
Lifegroup Leader
Parent's Name

First NameLast Name
Parent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Phone Number
Please enter a valid phone number.

Spiritual Information
Why do you want to go on this trip?
Service and Training History - Check all that apply:

Lifegroup/Serve Team LeaderLifegroup MemberServe Team MemberStateside Missions TripOverseas Missions TripSpring Break TripOther
Describe your giftings, abilities, and talents you could use for ministry?
What do you see as your strongest quality serving on a team? Why?
What do you see as your weakest quality serving on a team? Why?
How are you living in community with other believers? (Church attendance, XA involvement, etc)

Self Reflection
How would you rate yourself when it comes to working with others on a team?

1

2

3

4

5

1 is not a good team player, 5 is great team player
How do you handle your emotions? Are you easily angered/frustrated?
How well do you relate and talk to people that are different to you?
How is your character affected when you are tired, hungry, uncomfortable, etc?
How do you respond when plans change at the last second? Are you flexible?
When was the last time you shared the Gospel of Jesus with someone? Please explain.
How do you handle serving under authority?
What do you think will be most difficult for you, when it comes to preparing for a missions trip? And on the trip itself?

Additional Information
Do you have a passport? *Applicable if you have selected the Peru or Guatemala Trip

YesNo
If yes, when does it expire?
Do you have any medical conditions that may prevent you from traveling?
Do you have a vehicle?

YesNo
Are you willing to drive?

YesNo
Minimum requirements to attend XA Expeditions:
Are you willing to do the following:
- Send out letters to family and friends to help raise money.
- Help with local fundraisers
- Attend meetings and missions trip training
- Study and learn about the area in which you will be serving (could include reading a book, learning the basics of another language, and/or culture)
- Get passport or other documents I may need to travel abroad
YesNo
Is there anything else we should know or be aware of?
Please sign below and pay a $50 deposit to https://tithe.ly/give_new/www/#/tithely/give-one-time/5041627 (you can access this by going to ulmxa.com and selecting GIVE) in order to complete your application:
Signature

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General Information