Mission Trip Application Form

Name

This address will receive a confirmation email

Phone

Address

Birthday

Gender

Marital Status

Passport Information
Only complete if you will be traveling overseas. If you do not have your passport, please apply for it NOW and send us the information. Visas may be necessary for some countries.

Do you have a valid passport?

Passport #

Passport Expiration Date

Spiritual Information
This information is required to be completed in order for you to be considered to go on mission.

Name of your home church:

Church Address

Name of your Pastor:

Pastors email address:

Have you participated in any mission before?

If yes, when?

Where?

Name of group or church:

Group leader:

Group leader contact info: (phone or email)

What ministries are you involved with at your church?

Do you serve in any volunteer/leadership role in any ministry outside the church? If yes, please explain.

What do you think your gifts are?

Please give two references who know you and your spiritual walk (name & phone #)

Describe how and when you came to know Jesus as Lord.

Have you been water baptized by immersion?

If yes, where and when?

Please explain briefly why you want to participate in this mission trip.

WORK EXPERIENCE AND TALENTS
Please tell us more about yourself

Please list any talents you have (drama, singing, instruments, construction, medical, teaching, etc.)

Where are you employed?

Employment Position.

How long have you worked there?

Do you fluently speak any foreign languages? If yes, please list them.

What do you see as your strongest character quality and why?

What do you see as your weakest character quality and why?

HEALTH INFORMATION
Please list any current health issues.

If yes to any of these, please explain.

Do you have any condition which might affect your ability to function as a missionary on this trip (i.e. fear of flying, depression, anxiety, sleeping disorders)? Please Explain.

Do you have any chronic illnesses or allergies?

If yes, please explain.

Are you presently under medication prescribed by a doctor? If yes, please list.

Have you ever undergone any psychiatric care or treatment?

If yes, please explain.

Personal Information

What are your personal expectations for this mission?

If you are in a dating/engaged relationship with someone, is this person applying to serve on the same mission team?

How does your family feel about you going on this mission trip?

Have you been involved with any of the following within the past year?

Alcohol abuse Illegal drugs Tobacco A cult or the occult Criminal activity None of the above

Have you ever been convicted of a crime?

If yes, please explain.

What are the most significant events that have occurred in your life in the past two years?

Insurance Information
If you are currently uninsured, please write "uninsured" in the 'Name of insured' box.

Name of insured

Relationship to applicant

Birthdate

Name of employer

Employer address (include city, state, zip)

Insurance Company

Insurance Company Phone #

Group #

Policy ID

EMERGENCY CONTACTS

Please list at least two emergency contacts, including Name, Address, and Phone.

SIGNATURE PAGE AND PASTOR REFERENCE FORM
Please be sure to print and complete the Signature Page. You will not be considered for any mission trip without this printed and signed page.

CLICK HERE TO ACCESS FORM

Mission Trip Application Form

Description

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