ElSalvadorApplication

El Salvador Mission Journey Application

Please complete the form below to apply for this mission trip. El Salvador July 22nd-29th
1 Personal Information

2 Church & Emergency Contact 3 Christian Life Questions 4 Lifestyle Questions 5 References
Full Name*

First NameMiddle NameLast Name
Email Address*
Primary Phone Number*

Area CodePhone Number
Gender*

FemaleMale
Birthdate*

MonthDayYear
Age*
T-Shirt Size*
Grade/Year of School
Citizenship*
Marital Status*

2 Church and Emergency Contact

3 Christian Life Questions 4 Lifestyle Questions 5 References
Are you a member of a church?

yesno
Name of church where you are a member:
Name of church where you actively attend if different from above:
How long have you been attending?
Emergency Contact Information

Enter the following information for the person we should contact in case of an emergency (ie parent, guardian, spouse, etc).
Name*

First NameLast Name
Relationship to Applicant*
E-mail*
Phone Number*

Area CodePhone Number
Secondary Phone Number*

Area CodePhone Number
Once your application has been aproved and you have received your passport, another form will be required to be filled out. That form will require two emergency contacts and a beneficiary for travel insurance.

3 Christian Life Questions

4 Lifestyle Questions 5 References
1. Tell us the story of how you started following Christ. (300-1000 characters)*
3. Have you participated in a mission trip before?*

yesno
3.a. What are the details? Where did you go? When did you go? Who did you go with (church, organization, etc.)?
4. Do you have a regular devotion time (quiet time)?*

yesno
4a. Describe what you do during that time:
4b. What passage(s) in the Bible have you been reading recently? How have they have impacted you? List specific chapter(s) and verse(s)
5. Please give a brief explanation of the gospel as if you were sharing with an unbeliever.*
6. Describe your current church involvement. (Explain how often you attend, what responsibilities you have, how you serve, etc.)*
7. Explain why you want to participate in this mission trip.*

5 References
You’re Almost Done!

Once you submit this form, your next step will be to get two people to fill out reference forms for you. We will send you an email with a link to the form they need to complete on your behalf. Please list the necessary information for the two people you will use as references below.

Note: These references cannot be related to you. However, if you are related to the only pastor(s) at your church, you may use a relative for one of these references.
Reference 1: Student/Youth Pastor or Campus/College Pastor
Reference 1 Name:*

First NameLast Name
Reference 1 Email*
Reference 2: Adult (This can be someone in or outside of your church such as a school teacher, senior pastor, employer, or Sunday School teacher)
Reference 2 Name:*

First NameLast Name
Reference 2 Email*
Signature
Are your parents/guardian aware and in approval of you filling out this application?*

yesno
Please note, your parents/gaurdian will be required to fill out and sign a permission form and medical/liability release form after the application process
Signature (Click and drag with your mouse to sign)*
BY SIGNING MY NAME IN THE SPACE LABELED “SIGNATURE” ABOVE (WHICH SHALL CONSTITUTE MY SIGNATURE) I CONFIRM THAT THE ABOVE REPRESENTATIONS AND THE INFORMATION I PROVIDED ARE ACCURATE, AND THAT I HAVE THE AUTHORITY TO SIGN THIS FORM.
SignatureName*

First NameLast Name
Signature Date*

MonthDayYear
After you submit this application, we will review the information obtained and somone will be in contact with you.
Should be Empty:

El Salvador Mission Journey Application

1 Personal Information

2 Church and Emergency Contact

Emergency Contact Information

3 Christian Life Questions

4 Lifestyle Questions

5 References