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APPLICATION FOR SHORT-TERM MISSIONS
1. LEGAL NAME___________________________________________________________________
2. ADDRESS_______________________________________________________________________
3. PHONE NUMBER ____________________________OTHER #____________________________
4. AGE________ DATE OF BIRTH______________________ MALE ________FEMALE_________
5. E-MAIL ADDRESS _______________________________________________________________
6. PASSPORT # ____________________________________________________________________
7. CHURCH AFFILIATION__________________________HOW LONG?______________________
8. ARE YOU A BELIEVER, HAVING ACCEPTED JESUS CHRIST AS LORD AND SAVIOUR?
__________________________________________________________________________________
9. PLEASE DESCRIBE YOUR SALVATION EXPERIENCE. ________________________________
__________________________________________________________________________________
__________________________________________________________________________________
10. HAVE YOU HAD PREVIOUS SHORT-TERM MISSION EXPERIENCE? ___________________
IF SO, PLEASE EXPLAIN____________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
11. ARE YOU IN GOOD HEALTH TO THE BEST OF YOUR KNOWLEDGE? ________________
12. DO YOU TAKE MEDICATION? ______________IF SO, PLEASE DESCRIBE
________________________________________________________________________________
13. WHAT IS THE REASON FOR YOUR DESIRE TO BE PART OF OF THIS SHORT- TERM
MISSIONS TRIP? _________________________________________________________________
________________________________________________________________________________
14. PLEASE DESCRIBE ANY MINISTRY EXPERIENCE THAT COULD BE BENEFICIAL
THIS TRIP? (i.e., children’s ministry, music, medical, preaching, etc……)
________________________________________________________________________________
________________________________________________________________________________
15. SENIOR PASTOR SIGNATURE OF APPROVAL (required) ____________________________
*I approve candidate named on this application for Charlie's Lunch Short-term ministry
