Mission Trip Application

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1 Mission Trip Application Thank you for prayerfully considering joining your church on a short-term mission trip. Please fully complete every section of this application in print (no script/cursive, please). You may attach extra sheets if necessary. Only applications received prior to advertised deadlines will be considered. PERSONAL INFORMATION Full Name Date Present Address City State Zip Code Telephone # Cell Home Primary Address Date of Birth Social Security Number* N/A Citizenship* N/A Country of Birth* N/A Passport Number* N/A Date of Issue/Expiration* N/A ( ) Male ( ) Female In Case of Emergency, Please Notify (if under 18, please list parent contact information): Name Relationship Address City State Zip Code Telephone # Home Work Cell Primary Address Beneficiary Name* Relationship* *Only needed if trip is international.

2 MEDICAL INFORMATION How would you describe your present health? ( ) Excellent ( ) Good ( ) Average ( ) Poor Please state any major illnesses you have had in the last five years Are you presently under the care of a physician? ( ) Yes ( ) No If yes, please explain Please list any medications you are taking Please list any allergies you have Have you ever been under the care of a psychologist, etc.(explain)? REFERENCES Please provide a reference from someone in a ministry in which you serve who knows your ministry abilities as well as your strengths and weaknesses. Name Relationship Address _ City State Zip Code Telephone # Address INVOLVEMENT Member of what church Baptized When How long have you been a member? Your Connect/Life Group List the ministries with which you have been involved at your church, including length of involvement with any leadership positions held List the ministries with which you have been involved outside of your church, including length of involvement with any leadership positions held Have you ever been convicted of a crime? If yes, explain

3 FIELD Name/Location of Mission Project Dates of the Project Project Leader, if known Please describe what you would like to contribute to this trip Please describe what prompted you to apply for this trip Please indicate what special skills, talents, education, or Christian service experience you feel may be helpful on the field Circle any skills you might possess: Construction, Children or Youth Ministry, Evangelism Training, Music, Medical, Languages, Other. Explain Please list Missions experience: Country Mission Organization Dates Ministry Are you willing to adapt to other cultures? Please list any languages (other than English) you are able to speak What is your parent s response to your participation on this trip? Describe any investment you have made with unbelievers over the last year Explain any concerns related to this trip

4 TESTIMONY In the space below, please share your testimony. Please include how long you have been a believer. Please explain briefly what you hope to see the Lord do in and through you on this mission trip. APPLICANT SIGNATURE I am in agreement with the doctrinal beliefs of Deer Park First Baptist Church. STUDENT S SIGNATURE PARENT SIGNATURE* *Applicants under age 18 will have additional required paperwork for parents once approved. Please return your completed application to Josh Meeh, Youth & College Minister, Deer Park First Baptist Church (jmeeh@dpfbc.org). If you have any questions, please Josh or call him at

5 Availability for interview: Sundays: Mondays: Tuesdays: Wednesdays: Thursdays: Requirements for acceptance: Be a Christian Be able to communicate the Gospel Be an Active Member Requirements after acceptance: Attend all mandatory training meetings Serve in 5 different capacities in different areas of the church. (Examples: First Impressions, PowerHouse, Various service projects, Youth Ministry events, REACH, etc.) 100% attendance (Sunday mornings, evenings, and Wednesdays) Connect Group (Sunday am) participation Life Group (Sunday pm) participation Must participate in at least 1 Mission Trip fundraiser *If you need financial assistance, fundraisers will be available to help with the cost.

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