Mission Application
India - 2024
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Please upload a picture of yourself (Head/Shoulders).
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of
Gender
Male
Female
Age
Marital Status
Married
Single
Engaged
Divorced
Widow
Separated
Are you a US citizen?
Yes
No
Have you participated in a mission trip before?
Yes
No
If yes, where, when and what organization?
How did you hear about this trip? And why would you like to participate?
Have you received Jesus Christ as your savior and have an active relationship with Him?
Yes
No
How did you come to know Christ and how would you describe your relationship with Him?
Have you completed any ministry schools or bible seminaries?
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Have you received your prayer language and/or Baptism of the Holy Spirit?
Have you ever been asked to leave a church, a discipleship program, or denied access to a mission trip or ministry school? If yes, please explain:
Do you currently have a valid up-to-date passport?
Upload photo page of your passport.
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of
List of any medical conditions.
Are you taking any prescription medication?
Are you currently seeing a Counselor/Psychiatrist?
Do you have any health problems that would prevent you from being able to walk long distances, eat different food than you are used to, or operate on less sleep than usual?
Do you have any dietary restrictions?
Reference #1 - Please provide the e-mail and phone number of a ministry leader, mentor, or pastor who can be a reference to you for the trip.
Reference #2 - Please provide the e-mail and phone number of a ministry leader, mentor, or pastor who can be a reference to you for the trip.
Anything you would like us to know?
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