Mission Trip Application

MISSION TRIP APPLICATION

Personal Information:

Your Legal Name Gender: M F

Your Name on your passport if different:

Address:

City: State:Zip:

Phone: (Home)(Cell) Email address:

Date of Birth (dd/mm/yyyy):

If citizenship is not U.S.A., what is your visa status?

Home Church: (name, city, state) Pastor’s Name:

City:State: Zip:

Trip you are applying for and trip dates:

Spiritual Life: (complete on another piece of paper if necessary)

Share about your spiritual journey and relationship with Jesus.

Describe your church and/or parachurch (i.e. Intervarsity, Campus Christian etc…) involvement:

Briefly describe why you want to go on this trip. Include what you hope to contribute and what you hope to gain.

Personal Character: Brief answers are fine. We just want to get to know you a bit.

How would you describe yourself to someone who has never met you before?

What are your strengths?

What are areas in your life where you see a need for growth?

Describe a group or team experience you have had and what you learned from that experience.

What area few things you enjoy doing in your free time?

What kinds of tasks or situations do you not enjoy?

Medical Information:The stress of traveling can affect your ability to serve on an overseas mission trip. Answering yes to any of these will not necessarily disqualify you from being on the team.

Have you had any major illness during the past year? No Yes If so, please explain.

Do you take any medication regularly? No Yes If so, please explain.

Please list any allergies/dietary restrictions: No Yes If so, please explain.

Do you have any physical limitations? No Yes If so, please explain.

Cross-Cultural Experience:

What cross-cultural experiences have you had in the past, if any? Include: the organization you went with, when, where, length and purpose of project.

Trip Information:

Age group(s) you most enjoy serving:

Infants/toddlersPreschool

Elementary (5-11 years)Middle School (11-13)

High School (14-18)Post School

What skills, talents, and/or personal strengths do you have that you might contribute to the team.

Please mark all that apply. Add additional info that would help describe you.

Media / Arts / Group Activities / Music & Drama / Teaching skills / Medical
Photography
Sketching /painting
Ballooning
Crafts
Computer
Other: / Dance
Group games
Sports
What ones?
Team Building
Other: / Singing
Leading group singing
Choir directing
Leading worship
What age group?
Clowning
Mime
Puppets
Drama/skits
Instrument:
Other: / Up Front person
Small group
Other: / Nurse/doctor/PA
Area of specialty:
Med tech
First Aid
Water Fun
Lifeguard
Water aerobics
Water games
Any other skills that would helpful in children ministry:

Personal References (Church staff member or church leader who knows you well)

Name:Phone: Email:

Name:Phone: Email:

Have you ever been arrested for, charged with, convicted of and/or pled guilty to either a misdemeanor or felony involving child abuse or neglect, other crimes of violence, or drug charges? No Yes If so, please explain.

Obligation

I understand that my acceptance on this trip obligates me to pay for or raise the necessary funds and that Trinity Church will not cover any of my expenses.

Yes No

Please send completed application via email to

If you have any questions, feel free to contact Ellie Schupra at the above email address