ECUADOR -- Mission Trip Application (2017)

Ecuador 2017 MISSION TRIP APPLICATION
Thank you for applying for a 2017 Ninth and O Baptist Church mission trip.

**Applicants who are not members of NAOBC are welcome to apply; however, priority will be given to members when filling spots.

**A $100 non-refundable deposit is due with this application. Applicants will not be considered without a deposit.

Deposits can be paid at naobc.org through E-giving, or you can place a check in the metal secured drop box labeled "Missions Money" outside Sandy Hazelrig's office (106). Please indicate on the check's memo line the specific mission trip for which you are applying.

**If you submit your deposit check and are unable to go on the trip, the money will go directly into the Great Commission Offering Scholarship fund unless you transfer to another NAOBC mission trip within the same calendar year.
Trip Information
Ecuador

Dates: September 30 – October 8

Leader: Rocky Coleman – (davidrockycoleman@gmail.com)

Cost: $1,800

Application Deadline: June 4, 2017

Payment Schedule: $100 – June 4, 2017 / $1,100 – July 23, 2017 / $600 – September 3, 2017

Team Size: 10

Trip Description: In partnership with Reaching and Teaching International Ministries, our team will work alongside Chris and Carol Sills participating in a mixture of evangelism projects and pastoral training.

*Ninth and O Baptist Church’s 2017 short-term mission trips information is subject to change. Please contact the mission trip leader to ensure information is up-to-date.
Personal Information
Full Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
E-mail
I am applying for the
Church Membership
Where does your church membership reside?
What Bible Fellowship Group are you currently participating in, if any?
Skills Information

Please check all that apply.
Personal Ministry

Bible Study Leader Evangelism Singing Administration Preaching Children's Ministry ESL Photography
Medical Skills

Doctor Dentist Nurse Pharmacist Nutritionist Other
Construction

Carpentry Electrical Masonry Plumbing Other
Do you have any other skills which might be useful for short-term missions?
Medical Information
Blood Type:
Allergies:
Other health concerns:
Insurance Information
Medical Insurance Company:
Group#
Policy#
Beneficiary in case of Death:
Relationship to Beneficiary:
Passport Information
Name as it Appears on Passport:
Passport Number:
Expiration Date

- Month - Day Year
Please send a photocopy of your passport to Blake Ring at bring@naobc.org. If you do not currently have a passport, we recommend that you apply for one within six months of the trip.
Emergency Information
Please provide an emergency contact:
Relationship:
Phone:
Email:
References
Please provide the contact information of two fellow church members to serve as personal references.
Name:
Phone:
Email:
Years Known:
Name:
Phone:
Email:
Years Known:
Questions:
What short-term mission trips have you been on before (organization, date, destination, purpose)?
Provide a brief overview as to why you desire to go on this short-term mission trip:
Provide a brief account of your salvation experience and how God continues to work in your life:
Great Commission Offering Scholarship Application
Ninth and O Baptist Church desires to reach the world with the good news of Jesus Christ. One means by which we hope to accomplish this task is through the sending out of individuals on short-term mission trips. Through the Great Commission Offering, Ninth and O Baptist Church provides scholarships for individuals desiring to serve on short-term mission trips. GCO scholarships are available to NAOBC members only.

If you are in need of financial assistance to participate in a Ninth and O Baptist Church sponsored short-term mission trip, please respond to the following questions:
Do you want to apply for a Great Commission Offering scholarship?
Do you tithe to Ninth and O Baptist Church?

Yes No
If not, why?
Provide an explanation of the circumstances that make if difficult for you to cover the trip's full cost:
What are ways in which you are attempting to raise funds for the trip?
Please note: Scholarships awarded are applied to the mission trip's final payment. Applicants will be notified whether or not they have received a scholarship one month after the mission trip application deadline. The scholarship amount awarded varies depending on the trip's cost, applicant's needs, and the status of the Great Commission Offering fund. Scholarships will not be granted for the Oneida mission trip.
Should be Empty:

Ecuador 2017 MISSION TRIP APPLICATION

Trip Information

Personal Information

Church Membership

Skills Information

Medical Information

Insurance Information

Passport Information

Emergency Information

References

Questions:

Great Commission Offering Scholarship Application