1 | Page

MOUNT OLIVE LUTHERAN CHURCH

ADULT SHORT TERM MISSIONS TRIP APPLICATION

TripApplying For: (Location; Date) ______

YouhavemadeagreatdecisiontoapplyforaMount OliveShortTerm Missionstrip.MayGodbeglorified,youblessed,andthekingdomexpandedbythisdecision.

PersonalData: (Pleaseprint)
LegalName: ______
______/ Nickname: ______
Address: ______
EmailAddress: ______/ DateofBirth: ______
HomePhone: ______/ Gender:Male ___ Female ___
WorkPhone: ______
------/ MaritalStatus: ______
CellPhone: ______
Doyouhaveacriminalrecord?____ / Ifyes,pleaseexplain: ______

TravelInformation: Ifyouareintheprocess ofobtainingyourpassport,pleaseleave blank.

PassportNumber: ______Citizenship: ______

DateofIssuance: ______DateofExpiration: ______

Mount Olive Involvement:

DoyouattendMount Oliveworshipservices? ______Howlong? ______

Are youamemberofMount Olive? ______Howlong? ______

Do you attend Mount Olive regularly?______

Listtheclasses,ministriesorsmallgroups youcurrentlyattend:

Profession:

Are you a student? ______If so, please provide Name of School, Year of Study and Major:

Are you working? _____ If so, please provide Employer Name and Profession:

Please Answer all Questions

  1. Why are you interested in going on this trip?
  1. What are your expectations of this trip?
  1. What do you hope to “give” on this trip?
  1. Have you ever participated on a short-term benevolence trip? (If yes, please describe where you went and what happened in your own life as a result).
  1. A trip of this nature requires team work. It means we must be able to sacrifice personal desires for the good of the group. Please define the term “team-player.”
  1. Tell us about a time you served on a team and how you sacrificed your personal ambitions or goals for the good of the team.
  1. There may be certain restrictions placed upon a group by the culture of the country, by the hosting agency, and by Mount Olive Lutheran Church. Some of these restrictions will be for safety – others for cultural or religious reasons. Why do you think it is important to follow these restrictions?
  1. Have you ever worked with people of other races? Please give positive and negative examples.
  1. Do you have any previous experience of any kind that would benefit this trip?
  1. What work skills or hobbies do you have that might benefit this project?
  1. Languages spoken other than English? Proficiency level?
  1. Describe any concerns you have about going on this trip.
  1. Do have any problems with the following? If so, please explain.
  • Working in 90 degree heat with high humidity?
  • Walking or standing for extended periods of time?
  • Showering without hot water?
  • Other?

Please circle the appropriate answer:

General Health ------ExcellentFairPoor

Allergies ------YesNo

Dietary Restrictions -YesNo

Physical Challenges -YesNo

Emotional ChallengesYesNo

Describe any of the above, marked Yes, on the reverse side of this form.

Applicant Signature:______Today’s Date:______

The information submitted on this form will be kept confidential within the leadership of Mount Olive Lutheran Church
Version 1.1, dated 06.10.2016