Short-Term Mission Trip Application

Short-Term Mission Application

Please note: This is Step 1 (of 2). After completion of this form, you will be given a link to the other required documents/authorization forms.

Required documents/ID for this form: Passport
Application Date

MonthDayYear
Date
Trip Start Date*

MonthDayYear
Date
Trip Location*
1) Personal Background Information:

Full Name (as it appears on Passport) :
First Name*
Middle Name
Last Name*
Spouse
Child(ren)
Home Street Address*
Apt. No (if applicable)
City*
State*
Zip Code*
Phone (Mobile)*
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Country of Birth*
2) Passport Information:
Country
Passport Number
Issue Date

MonthDayYear
Date
Place of Issue
Expiration Date

MonthDayYear
Date
3) Church Information:
Name of Church*
Name of Pastor*
Member Since (Estimate)

MonthDayYear
Date
Position in the Church*

4) Ministry Information:
List Church ministries you have been involved with, past and present. Please provide dates and ministry leader(s)*

List 1 Pastoral reference (if not a pastor yourself) and 2 personal references with name, email, and phone number.*

List up to 3 cross-cultural and short-term experiences you’ve had:

What spiritual gifts, talents, abilities, and professional skills do you have that might contribute to the mission trip?*
What languages do you speak other than English (if any)?
What do you hope to see the Lord do in and through you on this mission trip?*
How do you think your involvement will strengthen the team?*
What do you do when you have conflict with someone? How do you handle confrontation?*
A Short-term mission trip requires a major time commitment. In addition to the trip itself, the team may meet multiple times for preparation and training leading up to the trip dates. Are you willing to commit to the necessary time requirements for this trip?*

YesNo
Signature*

Clear
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