Short Term Mission Trip ApplicationThank you for your desire to GO on a short term trip. Please fill out this form in its entirety to start the team application process. When you are finished, click "submit" and you will be redirected to a secure page to process your trip deposit. - Step 1 of 10Trip you are applying for *Ecuador (August 1-7, 2019)Southeast Asia (September 7-20, 2019)Central Asia (September 28 - October 12, 2019)Today's Date *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NextGeneralPlease provide us with your basic contact information...Name *FirstMiddleLastPlease provide us with your name EXACTLY as it appears on your US Passport (if applicable) or as it will if you do not have one.Email *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSSN *Your social security number is required for travel insurance and ticketing purposes.Birthday *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Your birthday is required for travel insurance and ticketing purposes.Age *Under 1818+ and living with my parents18+ and living on my ownGender *MaleFemaleMarital Status *MarriedSeparated/DivorcedUnmarriedWidowedPreviousNextTravelPlease provide us with information on your travel documents...US Passport *YesNoDo you have a US Passport that will still be valid six months AFTER your trip?Passport # *Issue Date *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expiration Date *Other Passport *YesNoDo you have a Passport that was issued or is valid in a country other than the United States?Passport # *Issue Date *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expiration Date *PreviousNextHealthPlease provide us with the following health information...Current Health *ExcellentGoodFairPoorHow would you classify your current health?Smoking *YesNoDo you currently smoke?Chronic conditions *YesNoDo you have any chronic illnesses or severe allergies?Chronic conditions *Please list or describe your chronic conditions.Other conditions *YesNoDo you have any other conditions such as anxiety attacks, depression, fear of flying, extreme fatigue, etc.?Other conditions *Please list or describe your other conditions.Prescriptions *YesNoDo you currently take any prescription medication?Allergic to Medications *YesNoAre you allergic to any medications?Allergic to Medications *Please list the medications you are allergic to.Health Insurance *YesNoDo you currently have health insurance coverage?Vaccinations *Hepatitis A Yellow FeverNone of the aboveHave you received any of these vaccinations in the last five years? Check all that apply.PreviousNextMission TripPlease answer the following questions about the trip you are applying for...Why Missions? *Why do you desire to GO on this short term trip?Reactions from others *What reactions have you received from others about potentially going on this trip?Reaction from spouse *How does your spouse feel about you potentially going on this trip?Reaction from parents *How do your parents or legal guardian feel about you potentially going on this trip?PreviousNextChurch InvolvementPlease answer the following questions about your involvement with Grace Family Church...Grace Family Church Attendance *How long have you attended Grace Family Church?Missions Experience *I have never been on a short-term trip beforeI've been on a short-term trip with Grace Family ChurchI've been on a short-term trip with another organizationCheck all that apply.Within the last two years? *YesNoPrevious Trip(s) *Please list the mission trip(s) you've takenMembership Track *YesNoHave you completed the Membership Track (includes Intro to Membership and five additional membership classes)?Next Membership Track *YesNoAre you willing to take the membership track when it is next offered?Life Group *YesNoAre you currently a part of a Grace Family Church Life Group?Serving *YesNoAre you currently serving in a ministry within the church?Serving Teams *Children's MinistryStudent MinistryHousekeeping/GroundskeepingHospitalityWorshipTechnicalGreeting/WelcomeFood PantryUshersCafeParkingOtherWhich teams do you serve on? Check all that apply.OtherPlease specify which other team you serve on.PreviousNextPersonal CharacteristicsTell us a little bit about you...Salvation Story *Briefly describe your salvation and the impact Christ has had on your life.Baptism *YesNoHave you been water baptized?Gifts & Abilities *List any gifts, skills, trainings, or passions you have that you feel would benefit you on this trip.Strengths & Weaknesses *List as least two of your strengths and weaknesses.Evangelism *YesNoHave you led anyone to receive Jesus Christ as their personal Savior?Evangelism *YesNoAre you comfortable sharing the Gospel on this trip with those that are far from Christ?PreviousNextImportant IssuesThese questions are not intended to be judgmental in any way, and they will be held in the strictest confidence. We ask these questions to better provide pastoral care to anyone desiring to serve the Lord, so please take your time and answer honestly. Disclosing any of this information to us does not necessarily disqualify you from a trip, but further discussion will be necessary.Struggles *I currently struggle with a habitual sexual sinI am unmarried and live with a member of the opposite sexI am unmarried and sexually involved with someoneI am married and am sexually involved with someone other than my spouseI currently struggle with same-sex attractionI am involved in homosexual activity or a homosexual relationshipNone of the aboveCheck all that apply.PreviousNextAgreementsPlease review the following statements to submit your interest form...I have read the Short-Term Trips Policies & Information Booklet *I agreeBy selecting "I agree" above, I understand that I am responsible for and will be held accountable to ALL of the policies and guidelines contained in the booklet.I am aware that the trip I am applying for is to a secure location *I agreeBy selecting "I agree" above, I understand that, for security reasons, I am not to post anything related to the location, name of people group, or names of ministry partners on social media before, during, or after the trip.Missions trips require personal financial responsibility *I agreeBy selecting "I agree" above, I understand that I will be responsible covering the cost of my short-term trip, whether by fundraising or out-of-pocket. I understand that Grace Family Church will not cover the cost of my trip, and in the event I cannot go, I will still be responsible for any costs associated with my trip. I will include my trip deposit as part of this submission.Missions trips require spousal support for participation *I agreeBy selecting "I agree" above, I understand that my spouses' support is required to have when participating on a short-term trip. I have consulted with my spouse about my pursuing interest in this trip.Missions trips require parental approval for participation *I agreeBy selecting "I agree" above, I understand that parent/legal guardian support is required for me to participate on a short-term trip. I have consulted with my parents about my pursuing interest in this trip. As a minor, I understand that Grace Family Church will defer to the wishes of my parents as it pertains to participation on this trip.PreviousNextSubmitEcuador Mission Trip DepositPrice: $ 200.00This deposit is non-transferrable and non-refundable upon joining a short term mission team. If it is determined that this will not be the best trip for you, we will refund this deposit.Central Asia Mission Trip DepositPrice: $ 100.00This deposit is non-transferrable and non-refundable upon joining a short term mission team. If it is determined that this will not be the best trip for you, we will refund this deposit.Southeast Asia Mission Trip DepositPrice: $ 100.00This deposit is non-transferrable and non-refundable upon joining a short term mission team. If it is determined that this will not be the best trip for you, we will refund this deposit.CommentSubmit
Short Term Mission Trip ApplicationThank you for your desire to GO on a short term trip. Please fill out this form in its entirety to start the team application process. When you are finished, click "submit" and you will be redirected to a secure page to process your trip deposit. - Step 1 of 10Trip you are applying for *Ecuador (August 1-7, 2019)Southeast Asia (September 7-20, 2019)Central Asia (September 28 - October 12, 2019)Today's Date *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NextGeneralPlease provide us with your basic contact information...Name *FirstMiddleLastPlease provide us with your name EXACTLY as it appears on your US Passport (if applicable) or as it will if you do not have one.Email *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSSN *Your social security number is required for travel insurance and ticketing purposes.Birthday *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Your birthday is required for travel insurance and ticketing purposes.Age *Under 1818+ and living with my parents18+ and living on my ownGender *MaleFemaleMarital Status *MarriedSeparated/DivorcedUnmarriedWidowedPreviousNextTravelPlease provide us with information on your travel documents...US Passport *YesNoDo you have a US Passport that will still be valid six months AFTER your trip?Passport # *Issue Date *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expiration Date *Other Passport *YesNoDo you have a Passport that was issued or is valid in a country other than the United States?Passport # *Issue Date *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expiration Date *PreviousNextHealthPlease provide us with the following health information...Current Health *ExcellentGoodFairPoorHow would you classify your current health?Smoking *YesNoDo you currently smoke?Chronic conditions *YesNoDo you have any chronic illnesses or severe allergies?Chronic conditions *Please list or describe your chronic conditions.Other conditions *YesNoDo you have any other conditions such as anxiety attacks, depression, fear of flying, extreme fatigue, etc.?Other conditions *Please list or describe your other conditions.Prescriptions *YesNoDo you currently take any prescription medication?Allergic to Medications *YesNoAre you allergic to any medications?Allergic to Medications *Please list the medications you are allergic to.Health Insurance *YesNoDo you currently have health insurance coverage?Vaccinations *Hepatitis A Yellow FeverNone of the aboveHave you received any of these vaccinations in the last five years? Check all that apply.PreviousNextMission TripPlease answer the following questions about the trip you are applying for...Why Missions? *Why do you desire to GO on this short term trip?Reactions from others *What reactions have you received from others about potentially going on this trip?Reaction from spouse *How does your spouse feel about you potentially going on this trip?Reaction from parents *How do your parents or legal guardian feel about you potentially going on this trip?PreviousNextChurch InvolvementPlease answer the following questions about your involvement with Grace Family Church...Grace Family Church Attendance *How long have you attended Grace Family Church?Missions Experience *I have never been on a short-term trip beforeI've been on a short-term trip with Grace Family ChurchI've been on a short-term trip with another organizationCheck all that apply.Within the last two years? *YesNoPrevious Trip(s) *Please list the mission trip(s) you've takenMembership Track *YesNoHave you completed the Membership Track (includes Intro to Membership and five additional membership classes)?Next Membership Track *YesNoAre you willing to take the membership track when it is next offered?Life Group *YesNoAre you currently a part of a Grace Family Church Life Group?Serving *YesNoAre you currently serving in a ministry within the church?Serving Teams *Children's MinistryStudent MinistryHousekeeping/GroundskeepingHospitalityWorshipTechnicalGreeting/WelcomeFood PantryUshersCafeParkingOtherWhich teams do you serve on? Check all that apply.OtherPlease specify which other team you serve on.PreviousNextPersonal CharacteristicsTell us a little bit about you...Salvation Story *Briefly describe your salvation and the impact Christ has had on your life.Baptism *YesNoHave you been water baptized?Gifts & Abilities *List any gifts, skills, trainings, or passions you have that you feel would benefit you on this trip.Strengths & Weaknesses *List as least two of your strengths and weaknesses.Evangelism *YesNoHave you led anyone to receive Jesus Christ as their personal Savior?Evangelism *YesNoAre you comfortable sharing the Gospel on this trip with those that are far from Christ?PreviousNextImportant IssuesThese questions are not intended to be judgmental in any way, and they will be held in the strictest confidence. We ask these questions to better provide pastoral care to anyone desiring to serve the Lord, so please take your time and answer honestly. Disclosing any of this information to us does not necessarily disqualify you from a trip, but further discussion will be necessary.Struggles *I currently struggle with a habitual sexual sinI am unmarried and live with a member of the opposite sexI am unmarried and sexually involved with someoneI am married and am sexually involved with someone other than my spouseI currently struggle with same-sex attractionI am involved in homosexual activity or a homosexual relationshipNone of the aboveCheck all that apply.PreviousNextAgreementsPlease review the following statements to submit your interest form...I have read the Short-Term Trips Policies & Information Booklet *I agreeBy selecting "I agree" above, I understand that I am responsible for and will be held accountable to ALL of the policies and guidelines contained in the booklet.I am aware that the trip I am applying for is to a secure location *I agreeBy selecting "I agree" above, I understand that, for security reasons, I am not to post anything related to the location, name of people group, or names of ministry partners on social media before, during, or after the trip.Missions trips require personal financial responsibility *I agreeBy selecting "I agree" above, I understand that I will be responsible covering the cost of my short-term trip, whether by fundraising or out-of-pocket. I understand that Grace Family Church will not cover the cost of my trip, and in the event I cannot go, I will still be responsible for any costs associated with my trip. I will include my trip deposit as part of this submission.Missions trips require spousal support for participation *I agreeBy selecting "I agree" above, I understand that my spouses' support is required to have when participating on a short-term trip. I have consulted with my spouse about my pursuing interest in this trip.Missions trips require parental approval for participation *I agreeBy selecting "I agree" above, I understand that parent/legal guardian support is required for me to participate on a short-term trip. I have consulted with my parents about my pursuing interest in this trip. As a minor, I understand that Grace Family Church will defer to the wishes of my parents as it pertains to participation on this trip.PreviousNextSubmitEcuador Mission Trip DepositPrice: $ 200.00This deposit is non-transferrable and non-refundable upon joining a short term mission team. If it is determined that this will not be the best trip for you, we will refund this deposit.Central Asia Mission Trip DepositPrice: $ 100.00This deposit is non-transferrable and non-refundable upon joining a short term mission team. If it is determined that this will not be the best trip for you, we will refund this deposit.Southeast Asia Mission Trip DepositPrice: $ 100.00This deposit is non-transferrable and non-refundable upon joining a short term mission team. If it is determined that this will not be the best trip for you, we will refund this deposit.CommentSubmit
