Guatemala Missions Trip Application - May 2020
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Gender
*
Please select one option.
Male
Female
Date of Birth
*
Emergency Contact
*
What is the emergency contact's relationship to you?
*
Emergency Contact Phone Number
*
Do you have a passport?
*
Please select one option.
Yes
No
Name on Passport (exactly as written)
*
Passport Number
Passport Expiration Date
Please give an account of your salvation.
*
Please describe any previous overseas ministry or missions experience.
*
Please describe any experience you have in local ministry or missions.
*
Are you involved in a small group, if so, which one?
*
Please name a small group leader, discipler, or mentor that we can contact as a reference.
*
Do you have any experience working cross-culturally?
*
Please select one option.
Yes
No
If yes, please describe a time when you have worked in a cross-cultural environment.
What is your motivation for applying to be a part of this missions team?
*
What do you expect from the opportunity to be a part of this missions team?
*
Do you have any kind of construction experience?
*
Please select one option.
Yes
No
If yes, please describe your experience.
Do you fluently speak any additional languages? If so, which languages?
*
Do you have any other/additional skills that would be helpful for us to know about? (musical, athletic, working with children, etc.)
*
Do you have any chronic illnesses, prescriptions, or allergies that may affect international travel?
*
Are you an active member of a local church?
*
Please select one option.
Yes, Island Community Church
Yes, another local church
No, I am not a member of a local church
If you are an ICC member, are you in need of a Member Scholarship?
*
Please select one option.
Yes
No
Are you a student? If so, where are you enrolled?
*
If you are a student, are you in need of a Student Scholarship?
*
Please select one option.
Yes
No
Submit
Description
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