Application

General Information

Destination *

Date *

Date

YYYY

Name (As printed in passport for airline tickets) *

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Mobile Phone

(###)

###

####

Home Phone

(###)

###

####

Work Phone

(###)

###

####

Date Of Birth *

Date Of Birth

YYYY

Sex *

Male

Female

Citizen of What Country? *

Do You Have A Valid Passport? *

Yes

Passport #

Expiration Date of Passport

YYYY

Marital Status *

Single

Married

Spouse's Name

Spouse's Occupation

Children's Names and Ages

Work Experience/Talents

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

Where are you employed?

Position?

How long have you worked there?

Which languages do you speak fluently?

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

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

Personal Information

What are your expectations for this trip?

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

Yes

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

If you are applying for a trip that includes ministry to children, you may be required to have a background check. Will you agree to a check?

Yes

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

After you have submitted the online application, please print, sign, and turn in the Short Term Missions Trip Agreement to complete your application process.

DOWNLOAD Agreement