Serbia Missions Trip Application - August 2020

Please fill out this form and click submit.

Name

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Email

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This address will receive a confirmation email

Phone

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Address

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Gender

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Please select one option.

Male Female

Date of Birth

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Emergency Contact

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What is the emergency contact's relationship to you?

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Emergency Contact Phone Number

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Do you have a passport?

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Please select one option.

Yes No

Name on Passport (exactly as written)

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Passport Number

Passport Expiration Date

Please give an account of your salvation.

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Please describe any previous overseas ministry or missions experience.

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Please describe any experience you have in local ministry or missions.

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Are you involved in a small group, if so, which one?

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Please name a small group leader, discipler, or mentor that we can contact as a reference.

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Do you have any experience working cross-culturally?

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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?

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What do you expect from the opportunity to be a part of this missions team?

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Do you have any medical experience (ex. optometry, dentistry)?

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Please select one option.

Yes No

If yes, please describe your experience.

Do you have any experience working with children?

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Please select all that apply.

Yes No

Do you fluently speak any additional languages? If so, which languages?

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Do you have any other/additional skills that would be helpful for us to know about? (musical, athletic, etc.)

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Do you have any chronic illnesses, prescriptions, or allergies that may affect international travel?

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Are you an active member of a local church?

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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?

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Please select one option.

Yes No

Are you a student? If so, where are you enrolled?

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If you are a student, are you in need of a Student Scholarship?

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Please select one option.

Yes No

Description

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