General Information
Your Name (as printed on your passport)
Address
State
City
Zip
Contact Number
Method —Please choose an option—CellHomeWork
Email
Date of Birth
Gender —Please choose an option—MaleFemale
Do you have a valid passport? —Please choose an option—YesNo (You will need to provide info in the future)
Passport #
Citizen of what country
Expiration Date
The Mission Trip I would like to join is —Please choose an option—Option A: Jul 22-Aug 2, $650
Do you speak Spanish? —Please choose an option—YesNoSome
T-Shirt Size (Unisex) —Please choose an option—SmallMediumLargeX-Large2X-Large
Jacket Size (Unisex) —Please choose an option—SmallMediumLargeX-Large2X-Large
Spiritual Information
Have you participated in a short term mission trip before? —Please choose an option—YesNo
What country?
What church do you currently attend?
How long have you attended?
Do you currently volunteer or serve in your church? In what ministry?
What do you think your spiritual gifts are?
Briefly describe how you came to know the Lord
This year, the mission trip is limited to 15-20 people. Please fill out your reason for wanting to join our mission trip carefully as we will be reviewing all applications and accepting participants per your answer to the next question.
Please explain why you want to participate in this mission trip.
Health Information
Do you have any conditions which might affect your ability to fully function as a missionary on this trip?
Do you have any chronic illnesses or allergies? —Please choose an option—YesNo Are you currently under medication prescribed by a doctor? —Please choose an option—YesNo
If so, what type of illnesses or allergies?
If so, please explain
Do you have Asthma or get motion sickness?
—Please choose an option—YesNo
Work Information
Are you currently employed? —Please choose an option—YesNo
If so, who is your employer?
Can we contact you at work? —Please choose an option—YesNo
Work phone
Participant Agreement Form
By signing this form, you agree that you have fully read and accepted the terms of your participation.
This application and $350 nonrefundable deposit are due by May 10th. The remaining balance is due on July 12th.
I proclaim that the information provided is true to the best of my knowledge.
I promise to participate in this mission trip according to HHK WMC rules with an obedient heart, cheerful attitude, prayerful spirit, and love for God and other.
Signature
Date
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