COMMIT MINISTRIES
SHORT TERM APPLICATION
Please direct correspondence to
33272 Camelot Drive, Yucaipa CA 92399; email
All trip participants are required to submit an application and application fee for any specific trip.
You must complete the pages below and return to .
Destination:______Dates:______Your Nearest Airport:______
Full Name as it appears on passport: ______
Full mailing address______
Date of Birth ______Phone ______email ______
Gender ___ Height ______Weight _____ Occupation ______Blood Type ______
Passport Number ______Country/place of issue ______Expiration Date ______
***Check your passport now! It MUST be valid for at least 6 months after the trip return date!
The Kenyan Government requires that all visa applications must be done online. The Single Journey visa application takes about 2 business days to process once you have applied and paid. About 60 days before departure, go to: https://account.ecitizen.go.ke/visitor-registration and create an account; verify the account via email and begin the application process. You will need a (maximum) 500px X 500px recent picture of yourself to upload, copy of your flight itinerary, and payment by VISA or MasterCard only. We send a sample Visa application 60 days before departure. A single journey visa generally costs about $53 and will be available at their site to download and print out.
The China government requires a tourist visa be completed either at their embassy or through a visa service; cost is about $135. The Israel government requires a tourist visa.
Languages you speak fluently:______Hobbies ______
Do you play a musical instrument? Y N If yes, what instrument(s)? ______
Are you able to teach music? Y N Lead worship? Y N
Teach Other Subjects? Y N If yes, which?______
In the event of a genuine emergency, please notify the following person:
Name ______Address ______email ______
City ______State _____ Zip ______Phone ______
We strongly urge that you consult with your doctor to have him or her assess what medications may be recommended for you to serve in your foreign destination. COMMIT Ministries International requires that you bring a filled prescription for Malaria prevention for all Africa teams. For Asia, Mexico, Europe, Israel, and Africa short-term mission teams, we advise that you consult with your physician.
***COMMIT Ministries is not liable for any loss on our trips. Health and Travel insurance is required for all team members and interns and at your own expense. You may purchase this insurance wherever you wish or at or our partner sites: Travel Protectors or Serving Abroad http://commitministries.servingabroad.com
For Office Use Only: ___App Accepted ___Visa ___Insr ___Liability/Medical Release___PFT __Itinerary tickets ___References __Brief testimony ___Prayer Team list __Health form__ Application complete:
COMMIT MINISTRIES INTERNATIONAL
SHORT-TERM MISSION TRIP
APPLICANT EVALUATION 33272 Camelot Dr, Yucaipa CA 92399
PERSONAL INFORMATION
Name ______
Address______
City ______State ______Zip ______
Email ______Home Phone ______Work Phone______
Citizen of what country ______Age ___ Gender_ __ Marital Status ______How Long? ______
Passport Number ______Expiration Date______
Name of Spouse or Roommate(s) if applicable: ______
______
Names and birth dates of children ______
______
EDUCATION/EXPERIENCE/INTERESTS
Education: Check highest grade completed and type of degree, if applicable.
___High School ___2 year college ___ 4 year college ___Masters ___Doctorate
Current Occupation ______
Employer ______How Long in this field? ______
Special skills and hobbies you “do” well: ______
______
Languages: Indicate your proficiency in other languages (1) some (2) well (3) fluently
Language Read Write Speak
______
______
______
What areas of the world have you visited? Why? A=Vacation B=Business C=Home D=Mission
Where For How Long? Why?
______
______
______
What skills/training do you have that may benefit the outreach?
( ) Puppets ( ) Acting ( ) Sharing your faith
( ) Song leader ( ) Musical Instruments ( ) Medical background
( ) International sign language( ) Arts/Crafts ( ) Storytelling
( ) TESOL ( ) Agriculture ( ) Medical training
( ) Paramedic ( ) RN or LVN ( ) Teaching
( ) Theology training ( ) Devotions ( ) Worship training
( ) Prayer leader ( ) Leadership training/experience:
( ) Formal missions training/experience: ( ) Other, Please describe:
Explanation of boxes checked______
How would you describe yourself?
a. extrovert___ introvert___
b. fact oriented___ intuitive___
c. thinking___ feeling___
d. decisive___ perceptive___
Describe a time when you were in disagreement with a leader or boss. How did you handle it? What would you try next time?
______
______
______
If your group was in disagreement, what would you do or suggest to help reach group consensus?
______
______
Would you be willing to experience a personal inconvenience to come together as a group?
YES NO
SPIRITUAL EXPERIENCE
Please circle the spiritual gifts you believe God has given to you:
Wisdom Knowledge Giving Leadership Encouragement Mercy Healing Miracles Discernment Administration
Tongues Apostleship Prophecy Teaching Pastor
Evangelism Faith
How are you currently using these gifts?______
______
Are you comfortable when involved in evangelism? Yes No Why? ______
______
What has your experience/training been with this? ______
______
If someone were interested in becoming a Christian, what would you tell them? ______
______
______
______
______
In what ways are you currently involved in World Missions?______
______
______
Do you tithe? Yes No Do your currently give any amounts to World Missions? If yes, please indicate what percentage of your income is given to World Missions each month?______
Please give a brief testimony of how you came to know Jesus Christ as your Lord and Savior?
______
______
______
______
What do you do to maintain a healthy spiritual life?______
______
______
______
Are you currently active in a cell or small group? Yes No Where?______
How often do you spend time alone with God?______
What do you usually pray for, specifically?______
______
______
How will your participation in this short-term project benefit the church with whom you worship?
______
______
______
Have you spoken with your parents/spouse/children about your plans for this trip? Yes No
If yes, how would you measure the response? enthusiastic___ neutral___ negative___
What amount of time do you currently give to any church ministry?______hours per week.
List the ministries with which you are involved______
______
Why do you want to go on this short-term mission trip? ______
______
______
______
TRIP DETAILS
Trip Costs: Each participant is expected to raise their own support. How are you planning on paying for the trip? What is your plan or strategy?
______
______
______
Do you have health insurance? Y N Does your current health insurance cover you for all health issues that occur outside of the country? Y N Are you sure?
A concern I have about this trip is______
______
______
A question I have about this trip is______
______
______
REFERENCES
Please provide 3 character references (pastor, small group leader, friend). Please provide each with the reference form furnished to you.
Name______Relationship to you______
Address______
Home Phone______Work Phone______Email______
Name______Relationship to you______
Address______
Home Phone______Work Phone______Email______
Name______Relationship to you______
Address______
Home Phone______Work Phone______Email______
______
Your Signature Today’s Date
As stated at our website, you must submit an application fee of $100 via Pay Pal with your completed application. Once you are accepted, you will be invited to participate with the team and the application fee will be credited to you trip fee balance. Trip fee balance will then be commuted to minimum monthly installments. The full trip fee is due 60 days prior to departure.
If you are not accepted, your fee will be refunded to you.
Please allow 48 hours for a decision to be made upon application.