Outside the Boat International

Short Term Missions Trip Application

 

General Information:

Date: _______________________

Full Name (As shown on passport):______________________________________

Birth Date: _____________________

Address: _____________________________City:______________________State:______________

Zip:____________

Home Phone: ___________________Cell Phone: ____________________

E-mail:_____________________________________________________

Passport #__________________________________________

Expiration Date: _________________________________

Emergency Contact Name: ___________________________________________________

Emergency Contact Phone Number: __________________________________________

Trip/Project applying for: _____________________________________________________________________________

Church Home: ______________________________________________________________________________

Health Information:

Do you have any medical conditions or physical impairments that the team leader should be aware of?

_____________________________________________________________________________ ____________________________________________________________________________________ Do you have allergies? Yes_____ No_____
Do you have food allergies? Yes_____ No_____
 

If yes, please list: ______________________________________________________________________________

______________________________________________________________________________

Personal Testimony:

How long have you been walking with the Lord? _________________________________________________________

Briefly describe how you came to know Jesus Christ as your Savior: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

Describe your present relationship with the Lord Jesus and any areas in your life He has been helping you grow in? ______________________________________________________________________________

______________________________________________________________________________ ______________________________________________________________________________

If you are a student/minor do your parents attend Heritage or another church? If so, which one?

______________________________________________________________________________ If you are a student/minor are you currently in a youth ministry? Yes_____No_____ If yes, who is you leader? ______________________________________
Phone number: _________________________
Have you participated in a Mission trip before? Yes_____No_____

If “Yes” where did you go and when?___________________________________________
 

What was the scope of the ministry.....work? Evangelism? Combination?

What’s ONE thing that God taught you on that trip?____________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Why would you like to participate in this trip? ______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

What are your strengths and weaknesses?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Do you play an instrument? Sing? Juggle or any other hidden talent that would benefit our ministry?

______________________________________________________________________________

_____________________________________________________________________________

Will you submit to the authority of the leader on this mission trip? _____________

How do you respond to authority when you feel your desires/requests are denied? _____________________________________________________________________________

_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________
 

Have you traveled outside the US before? If so, when and where? __________________________________________________________________________________

Are there any other things that we should know about you that are not covered on this application? Please elaborate.

_______________________________________________________________________________ Please provide the names and phone numbers of two non-family member references. 1.__________________________________________________________________________ 2.__________________________________________________________________________

Signature:_________________________________________Date:____________________ If a minor:
Parent/Guardian Signature:_____________________________Date:________________

Return application and a deposit of $200 to:
Colleen Ryan
120 Racine Place
Mundelein, IL 60060

Check should be made out to: Outside the Boat International (OTBI).