Name

Email Address

Message

Phone

Address

Date of Birth

Gender Gender Male Female

Marital Status Marital Status Single Married

Are you Traveling with Spouse or Child? Are you Traveling with Spouse or Child? Yes No

Tell Us About Your Personal Salvation*

Tell Us About Your Water Baptism*

How Would You Describe Your Current Relationship with God?*

Describe the Personal Habits/Disciplines/Practices that you regularly follow in Your Devotional Time with the LORD?*

Name of Your Local Church

Churche's Address

Churches Phone Number

Senior Pastor's Name

In What Ministries do you Currently Serve?

Have you had a background check performed through your church? * Have you had a background check performed through your church? * Yes - Recently No Yes - Long Time Ago

Why Do You Want to Go on This Short-Trip Mission Trip?

Have you ever been on a mission trip before? * Have you ever been on a mission trip before? * Yes No

Have you studied or do you know Arabic? * Have you studied or do you know Arabic? * Yes No Little

Serving Christ in a foreign environment requires that we live outside of our own cultural norms. Will you be able to lay aside expectations of American standards regarding personal conveniences, food, sleeping accommodations, travel etc.? * Serving Christ in a foreign environment requires that we live outside of our own cultural norms. Will you be able to lay aside expectations of American standards regarding personal conveniences, food, sleeping accommodations, travel etc.? * Yes No I Have Concerns

New Field New Field Bible Distribution Children's Ministry Construction Evangelism Medical Prayer/Intercession Preaching Serving Teaching Worship Other

Please specify other areas of ministries

Please make a note of your experience and/or level of skill in your selected area above

AGREEMENT + SIGNATURE AGREEMENT + SIGNATURE I certify to the best of my knowledge that all the information given in this form is correct.

New Field New Field If accepted to serve on this team, I agree to: cooperate in observing all team rules and regulations, uphold high standards of conduct and be sensitive to the cultural aspects of serving in a foreign country, willingly work with and submit to the team leaders, seek to maintain harmony with the rest of the team, complete all training requirements for the team, raise my nancial support for this outreach above and beyond what I already give in tithes to my church.

Please type your name as your signature