Phone number *
Phone type Mobile Home Work Other
Which Mission Trip Are You Applying For? *
Select One Only ::
Select… Kenya :: January 11-22, 2025 Mayreau :: February 23 - March 4, 2025 Germany :: June 2025 (Dates TBD) Mozambique :: June 2025 (Dates TBD)
Are you (the applicant) under 18 years of age? *
Do you have a valid passport? *
Your Church or Pastor's phone number: *
Including Area Code (555-555-5555)
Are you in a Small Group? *
What ministries are you involved in at Westgate (or your home church)? *
How do you relate to leadership? *
How do you work alongside others? *
Please describe any experience you have working in a team environment: *
The ability for each person to fully cooperate with leadership is a vital component of working on a team. All team members must be able to receive instruction, direction, and correction in order to be effective.
Have you ever served on a missions trip or have any cross-cultural experience? *
Please check off any specific experience/skills you have: *
Do you speak any foreign languages? *
Do you play any musical instruments? *
Do you have any construction experience? *
Please share any other experience you bring or gifts you have that you believe could help benefit this trip:
Please describe how and when you came to know Jesus: *
What do you think your spiritual gifts are? *
What do you see as your STRONGEST character quality and why? *
What do you see as your WEAKEST character quality and why? *
Please briefly describe why you want to go on this missions trip: *
What are your personal expectations for this trip? *
In what way(s) do you believe God will use you on this team? *
Do you currently deal with, or have ever dealt with any of the following: *
Please check all that apply.
Do you have any condition(s) that could affect your ability to fully function as a missions team member on this trip? *
For example: fear of flying, depression, anxiety, sleeping disorders, etc.
Do you have any chronic illnesses or allergies? *
Are you presently under medication prescribed by a doctor? *
Have you ever had psychiatric care or treatment? *
Do you have health insurance? *
How would you describe your overall health and fitness? *
Select… Excellent Good Average Needs Improvement
Please include any other health information you feel would be helpful/appropriate for us to know.
If applicable.
Please share how your family/spouse feels about you going on this trip: *
Do you currently have finances to pay for this trip? *
Have you been involved with any of the following within the last 12 months? *
Please check all that apply:
Have you ever been convicted of a felony? *
Have you ever been convicted of a sexual crime? *
Are you willing to submit to a background check? *
A background check is REQUIRED for any trips involving ministry to children.
Phone Number of 1st Reference: *
Including Area Code (555-555-5555)
Phone Number of 2nd Reference: *
Including Area Code (555-555-5555)
Relationship to Applicant: *
Select… Spouse Mother Father Child Legal Guardian Step-Mother Step-Father Sibling Grandmother Grandfather Extended Family Relative Friend Pastor Small Group Leader
Primary phone number of Emergency Contact: *
Including Area Code (555-555-5555)
Secondary phone number of Emergency Contact (if applicable):
Including Area Code (555-555-5555)
Applicant Digital Signature *
By signing below, I am acknowledging my understanding of, agreement with, and consent to the following:
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