Short Term Trip Application - Grace Family Church

Short Term Mission Trip Application

Thank 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 10

Trip you are applying for *

Today's Date *//

General

Please provide us with your basic contact information...

Name *

First

Middle

Last

Please 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 1

Address Line 2

City

State

Zip Code

SSN *

Your social security number is required for travel insurance and ticketing purposes.

Birthday *//

Your birthday is required for travel insurance and ticketing purposes.

Age *

Under 18
18+ and living with my parents
18+ and living on my own

Gender *

Male
Female

Marital Status *

Married
Separated/Divorced
Unmarried
Widowed

Travel

Please provide us with information on your travel documents...

US Passport *

Do you have a US Passport that will still be valid six months AFTER your trip?

Passport # *

Issue Date *//

Expiration Date *

Other Passport *

Do you have a Passport that was issued or is valid in a country other than the United States?

Passport # *

Issue Date *//

Expiration Date *

Health

Please provide us with the following health information...

Current Health *

Excellent
Good
Fair
Poor

How would you classify your current health?

Smoking *

Do you currently smoke?

Chronic conditions *

Do you have any chronic illnesses or severe allergies?

Chronic conditions *

Please list or describe your chronic conditions.

Other conditions *

Do 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 *

Do you currently take any prescription medication?

Allergic to Medications *

Are you allergic to any medications?

Allergic to Medications *

Please list the medications you are allergic to.

Health Insurance *

Do you currently have health insurance coverage?

Vaccinations *

Hepatitis A
Yellow Fever
None of the above

Have you received any of these vaccinations in the last five years? Check all that apply.

Mission Trip

Please 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?

Church Involvement

Please 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 before
I've been on a short-term trip with Grace Family Church
I've been on a short-term trip with another organization

Check all that apply.

Within the last two years? *

Previous Trip(s) *

Please list the mission trip(s) you've taken

Membership Track *

Have you completed the Membership Track (includes Intro to Membership and five additional membership classes)?

Next Membership Track *

Are you willing to take the membership track when it is next offered?

Life Group *

Are you currently a part of a Grace Family Church Life Group?

Serving *

Are you currently serving in a ministry within the church?

Serving Teams *

Children's Ministry
Student Ministry
Housekeeping/Groundskeeping
Hospitality
Worship
Technical
Greeting/Welcome
Food Pantry
Ushers
Cafe
Parking
Other

Which teams do you serve on? Check all that apply.

Other

Please specify which other team you serve on.

Personal Characteristics

Tell us a little bit about you...

Salvation Story *

Briefly describe your salvation and the impact Christ has had on your life.

Baptism *

Have 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 *

Have you led anyone to receive Jesus Christ as their personal Savior?

Evangelism *

Are you comfortable sharing the Gospel on this trip with those that are far from Christ?

Important Issues

These 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 sin
I am unmarried and live with a member of the opposite sex
I am unmarried and sexually involved with someone
I am married and am sexually involved with someone other than my spouse
I currently struggle with same-sex attraction
I am involved in homosexual activity or a homosexual relationship
None of the above

Check all that apply.

Agreements

Please review the following statements to submit your interest form...

I have read the Short-Term Trips Policies & Information Booklet *

I agree

By 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 agree

By 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 agree

By 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 agree

By 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 agree

By 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.

Submit

Ecuador Mission Trip Deposit

Price: $ 200.00

This 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 Deposit

Price: $ 100.00

This 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 Deposit

Price: $ 100.00

This 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.

General

Travel

Health

Mission Trip

Church Involvement

Personal Characteristics

Important Issues

Agreements

Submit

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