Short-Term Mission Trip Application
* What Mission Trip Are You Applying For?
* First Name
* Last Name
* Address
* Mobile Phone
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* Email
* Birth Date
* Emergency Contact
* Relationship to Emergency Contact
* Which applies to you
Select one
Male
Female
* List any medical problems and medications
* Please list any allergies
* Have you been on a mission trip before? If yes, please list:
Release Form
View Waiver
Background Check Authorization - Download, complete and return
* I have read the application and fully understand what this mission trip will consist of. I understand the requirements of my time, attendance, and finances. I understand that I can be removed from the mission team without warning if the team leader feels that I am not performing to the requirements stated in this packet. I understand and have informed my financial supporters that all funds receive
Select one
I agree with this form
PERSONAL WALK
PERSONAL WALK
* Please briefly share your testimony (how you came to faith in Christ):
* How are you currently growing in your relationship with Christ?
* Are there any current moral issues or physical conditions that could impact your involvement on a mission project?
Select one
Yes
No
* If yes, please describe
CHURCH INVOLVEMENT
CHURCH INVOLVEMENT
* 1. Are you an active member or attender of Northcliffe?
Select one
Yes
No
In Membership Process
* 2. . Are you actively attending a small group?
Select one
Yes
No
* 3. Do you give financially to Northcliffe Church? (Only those who faithfully give financially are permitted to receive scholarship funds)
Select one
Yes
No
MISSIONS INFORMATION
MISSIONS INFORMATION
* 1. Why do you feel you want to participate on this trip?
2. Rate yourself by 1 – 5 (with 1 being the lowest and 5 being the highest)
* Flexibility
Select one
1
2
3
4
5
* Adaptability
Select one
1
2
3
4
5
* Team Player
Select one
1
2
3
4
5
* What gifts, skills, or experiences do you have that may help the team?
* 3. Describe your strengths and weaknesses:
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