PROFILE

First Name *

Last Name *

Email *

Phone *

Gender *

Date of birth *

Marital Status *

Address

Street Address *

City *

State *

Country *

Postal code *

Passport Number

Country of Citizenship *

Will you be attending with your spouse or children? If yes, please indicate who you will be attending with. If you are married and applying without your spouse, please have your spouse briefly indicate how they feel about you leaving them for school and how attending fits into your family as a calling: *

Emergency Contact

Emergency Contact *

Emergency Contact Relationship *

Emergency Contact Phone *

Emergency Contact Email *

Health Information

Do you have a medical condition we need to be aware of? *

Are you or any of your attending children allergic to any medications/food/animals etc? Do you have any special dietary needs? Please specify. *

Blood Type *

If you are traveling with your family, please fill out the health information for every family member by following the link after you submit this form.

Spiritual Life

When did you accept Christ as your personal Savior? *

Have you been baptized in the Holy Spirit according to Acts 1:8 and Acts 2:4? If yes, how do you know you were baptized in the Spirit? *

List some of your gifts or talents *

Please briefly describe your relationship with your local church (including if you are serving and how long you have been attending). If you aren't involved in a church, please explain why. *

Home Church Name *

Senior Pastor First Name *

Senior Pastor Last Name *

Pastoral Reference Email *

Motivation

Have you been on a mission trip? Describe your participation in missions. *

Write in maximum 5 sentences what is your motivation to go on this mission trip. *