BASICGO Application

Application
We are so excited that you are interested in going on a short term mission trip this summer!

Check out the details of the trips below and choose the trip for you.
Outreach

Dates: January 7th - January 12th
New York City: Trip Cost $750

We need your best! We are looking for a small team of people, who love Jesus, and Homeless outreach! Humans who are not afraid to be bold, share their faith and try new things. We have a three-fold philosophy concerning urban-missions: simple, supernatural, and service.
Global

June 4nd - June 16th
Thailand - Bangkok: Trip Cost $3,000

Have you been longing to tear down strongholds, and reach the unreached all while eating pad thai and mango sticky rice? Then this is the trip for you! We are going to be spending a whole two weeks learning from seasoned missionaries and serving hands-on in one of the most unreached places in the world!
Choose a Trip
Which trip are you applying for?*

New York CityThailand
Personal Info
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Birthdate*

MonthDayYear
Date
Gender*
Citizenship*
What languages do you speak? (other than English)*
What level would you say you are able to speak said language(s)? (Choose 1)

BeginnerIntermediateAdvanced
In what capacity can you communicate those languages? (check all that apply)

SpeakTranslateRead
Do you have a current passport?*

YesNo
When does your passport expire?

MonthDayYear
Date
Picture of Passport

Browse Files

Cancelof
Have you ever traveled internationally?*

YesNo
Upload a current picture of yourself*

Browse Files

Cancelof
If you are a part of a BASIC group please list which group and your leader's name.*
Emergency Contact Info
Person to Contact*

First NameLast Name
Relation*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Spiritual Background
Name of your local church*
Church website*
Name of your Pastor*

First NameLast Name
How long have you been attending this church?*
Briefly describe when & how you became a Christian.*
Briefly describe how you spend time with Jesus.*
Briefly describe your beliefs on the Bible.*
Briefly describe your beliefs on God, Jesus and the Holy Spirit.*
Can you also briefly describe the Holy Spirit's ministry & gifts.*
Background Info
Do you have or have you ever had: (select all that apply)*

DiabetesSeizuresHeart ConditionRespiratory ProblemsPsychiatric CarePhysical DisabilityCurrently PregnantOtherNone of the Above
If you selected any of the previous, Please explain here.
Are you presently under a doctor's care of taking medication? If yes, Please explain.*
Do you have special diet requirements for medical reasons? If yes, please explain.*
Are you currently struggling with any of these behaviors?*

Substance abuse (nicotine, narcotics, alcohol, etc.)Self destructive behaviors (cutting, burning, co-dependency, etc.)Eating disorder (anorexia, bulimia, etc.)Sexual struggle (pornography, masturbation, same sex attraction, gender identity, sex outside of marriage, etc.)None of the above
If yes, please explain what you are currently doing to remain free from these behaviors.*
Have you ever been convicted of a misdemeanor or felony?*

YesNo
If yes, please explain?
Vision & Skills
Why do you want to go on this trip?*
What practical, educational or ministry skills do you have that could be used on the trip? *
Check all areas that apply to you and your interests in ministry. Specifically for this trip.*

Grounds MaintenanceVehicle MaintenanceSpecial construction projectsOffice/secretarial workKitchenHousekeeping servicesYouth MinistryChildren's MinistryBible School MinistryPreachingTestimoniesDramaPuppetsPraying for the sickMedical/DentalTranslatingHospital MinistryPrison MinistryIntercessory PrayerEvangelism/Street MinistryTeaching InstrumentsSpecial SongsLeading Praise and WorshipPlay Instruments
Is there anything more specific to the things you chose that you would like to explain more (ie. your medical training level, type of instrument you could teach, or specific instrument you play)?*
Is there anything else we didn't mention that you would like to add? *
What do you hope to accomplish on this trip? Please state specific goals/desires. *
References

As part of the application process you will need to submit 2 references. When you enter their email below a reference form will automatically be emailed to them.
Pastor/Spiritual Leader's name*

First NameLast Name
Pastor/Spiritual Leader's email*
example@example.com
Basic Leader's name or EBI&C staff member name (if you are not a part of a BASIC group or EBI&C please list a Mentor's name.)*

First NameLast Name
Basic Leader, EBI&C Staff or Mentor's email*
example@example.com
You Got This!

We believe that if you have a desire to go on one of these trips that the Lord WILL make a way! He knows exactly why you have this desire and money should never stop any of you from making this next step to apply. We will be sending you videos and resources on how to raise support to help you go on your trip! We believe in you and want you to succeed! And don't be afraid, the steps ARE doable and extremely straight forward. God has key people in your life that he will use to help send you on this missions trip.
Should be Empty:

Application

Outreach

Global

Choose a Trip

Personal Info

Emergency Contact Info

Spiritual Background

Background Info

Vision & Skills

References

You Got This!