Mars Hill Community Church International Missions - Team Member Application & Information

Project location: *

Dates: *

Participant Personal Information

First Name *

Last Name *

Gender *

Male

Female

Street Address *

Address Line 2

City *

State *

Zip Code *

Home Phone Number *

Cell Phone Number *

Email Address *

Date of Birth: *

Country of Birth *

US Citizen? *

Yes

No

Marital Status: *

Single

Married

Name as it appears on your passport:
(If applied for please write your name as it will appear on passport) *

Expiration date:

Passport Number:
(please upload a copy of your passport)

Upload copy of passport

SkyMiles Number if you have one:

Emergency Contact *

Relationship to Participant *

Emergency Contact's Cell Number *

Participant Medical Information

How would you describe your present health? *

Excellent

Good

Average

Poor

Please state any major illness(es) you have had in the last five years: *

Please list any medications you are currently taking: *

Involvement

Are you a member of Mars Hill Community Church *

Yes

No

How long have you been a member?

Are you an active member of a Life Group or Sunday School Class?? *

Yes

No

Name of your Life Group/ Sunday School Leader

Briefly share your story of how you came to know Christ *

Have you ever been on a short-term mission trip? *

Yes

No

If yes, please describe your experience:

What are your hopes for this mission trip? *

What are your spiritual gifts? *

How do you think you might be able to use your gifts on this trip? *

If you are currently employed or volunteer, please list your employment and/or volunteer experience:

If you are currently a student, please list your educational background:

Have you had training in personal evangelism? If so, please explain: *

If selected to be a part of a Mars Hill Mission Trip Team, I make a commitment to: go through the training process prior to departure and after I return from the trip. *

Yes

No

I commit to submitting to the authority of the team leader and the host on the field and to outline team policies. *

Yes

No

I will refrain from any behavior that may compromise my witness (i.e., abusive language, drug use, etc.) *

Yes

No

I commit to serving others in any way I can. *

Yes

No

I commit to raising all of my trip support and/or pay personally for my trip cost. *

Yes

No