ICA Mission Trip Application Form

ICA Mission Trip Application Form
Personal Information
Full Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Upload Copy of Passport

Cancelof
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to you
Tee Shirt Size (Asian sizes - a little smaller than USA)
Church Information
What is your home church?
How long have you attended this church?
What is your Pastor's name?
What area(s) of ministry do you currently serve in at your church?
Spiritual Background
When did you accept Jesus as your Lord and Savior?
Have you been water baptized? If yes, when?
Year + age
Have you been baptized in the Holy Spirit? If yes, when?
Do you believe the Bible is the inspired Word of God?

Other
Health Information
Do you have any medical conditions? If none, right n/a
Example: Hypoglycemia
Do you have any allergies?
(Example: nuts, medications, etc.)
Do you have any special medical or dietary needs?
Do you have any serious fears or phobias?
(Example: heights)
Do you experience travel sickness or motion sickeness?
Physical Readiness

Please rate the following from 1 (low) to 10 (high):
Energy Level
How often do you exercise?
How often do you walk?
Hydration
How much water do you typically drink in a day?
Ministry Experience
Please indicate which areas of ministry you have been involved in:

Other
Missions Experience
Have you ever been on a mission trip before?
If yes, how many trips and where did you go?
Heart for this Trip
What inspired you to come to Thailand?
What are you most looking forward to on this trip?
Areas you would like to serve in
Please mark the areas you would like to serve in:
Personal Limitations
Please let us know if you have any physical, spiritual, or emotional limitations we should be aware of.
Mission Trip Commitment Agreement
1. I will stay in pairs and never go off on my own.
2. I will remain teachable.
3. I will remain humble.
4. I will inform a leader if I am struggling spiritually or physically before it becomes a larger issue.
5. I will not try to make Thailand fit into my world; I will adapt and connect with the people and culture.
6. I will not give money directly to individuals. If I feel led to give, I will give through the church or team leaders for proper distribution.
7. I will be mindful of my actions toward fellow team members, the ICA team, and the people we serve.
8. I recognize that I am not the Savior, but I will point people to the Savior.
9. I am here to serve my Lord and Savior, not myself.
Signature
3-Minute Testimony
After completing this form, please complete your 3-Minute Testimony below so we can send a copy to our translators to check your work. We will get back to you will any edits so you can best commuicate your story here in Thailand!

CLICK HERE TO COMPLETE 3-MINUTE TESTIMONY
Comments or Questions
Please share any comments or questions you have about the mission trip.
Should be Empty:

ICA Mission Trip Application Form

Personal Information

Emergency Contact

Church Information

Spiritual Background

Health Information

Physical Readiness

Ministry Experience

Missions Experience

Heart for this Trip

Areas you would like to serve in

Personal Limitations

Mission Trip Commitment Agreement

3-Minute Testimony