Mission Trip Application

Mission Trip Application

Please complete this form to apply for participation in the mission trip. All information will remain confidential.
Personal Information

Tell us about yourself.
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Work Information

Please provide your current employment details.
Occupation/Job Title
Employer Name
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
References

Please provide three references who can speak to your character and experience.
Reference 1 Full Name

First NameLast Name
Reference 1 Relationship
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Email Address
example@example.com
Reference 2 Full Name

First NameLast Name
Reference 2 Relationship
Reference 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Email Address
example@example.com
Reference 3 Full Name

First NameLast Name
Reference 3 Relationship
Reference 3 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 3 Email Address
example@example.com
Emergency Contacts

Please provide two emergency contacts.
Emergency Contact 1 Full Name*

First NameLast Name
Emergency Contact 1 Relationship*
Emergency Contact 1 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 1 Email Address
example@example.com
Emergency Contact 2 Full Name

First NameLast Name
Emergency Contact 2 Relationship
Emergency Contact 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2 Email Address
example@example.com
Medical History

Your medical information helps us ensure your safety during the mission trip.
Please list any medical conditions or health concerns we should be aware of.
Do you have any allergies? If yes, please specify.
Do you have any dietary restrictions?
Current Medications

List all medications you are currently taking.
Please list all current medications, including dosage and frequency.
In a few paragraphs please describe your personal testimony and walk with Christ. Please be reminded that we are all at different places of faith and we want to know your story no matterwhere you stand. Since our missions are centered on Christ, it is important that we know whereour missionaries are with God, personal devotion, and the church. No answer is “right or wrong”.Please be honest and share from the heart. If you are highly involved in ministry please includethose ministry involvements. If you are not highly involved, please include the areas where youhave seen God at work in your life and where you hope to see changes in your life after goingon a mission.
How did you learn about this mission?
Why are you interested in this particular mission?*
What do you hope or expect to gain from this experience?*
What do you feel you can contribute to this mission?
What specific skills/abilities / and talents do you have that will help your team and those on theground?
What contact have you had with other racial, cultural and religious groups? (Please listthose as best you can and include any training or courses you may have also taken in the areaof cross-cultural learning.)
Do you have any foreign language proficiency? (Please list each noting fluent,conversational, etc.)
In what mission/work trips or service project(s) have you participated in?(Please describe including when, where & length of the project)
How open are you to God calling you to full-time missions? (Please share if you havesensed a call to go and if so, what has kept you from following up with this?)
How would you describe yourself to someone who has never met you before?
What are your strengths?
What are areas in your life where you see a need for growth?
Describe a group or team experience you have had and what you learned from thatexperience.
Should be Empty:

Mission Trip Application

Personal Information

Work Information

References

Emergency Contacts

Medical History

Current Medications