2017 Mission Trip Application
PLACE A MANDATORY RECENT PHOTO OF YOURSELF HERE
OTHER PEOPLE MATTER
SECTION A: TRIP INFORMATION What grade are you currently in?
Which Mission Trip(s) are you applying for?
Deposit checks can be made payable to Granger Community Church. Once accepted onto the trip, deposits are non-refundable.
SECTION B: PERSONAL INFORMATION Full Name Male
Name you prefer to go by
Female
Phone
Date of Birth Address Email Hobbies and/or extra-curricular activites
PLEASE RETURN COMPLETED APPLICATION AND DEPOSIT TO GRANGER COMMUNITY CHURCH ATTN: GSM MISSION TRIPS 630 E. UNIVERSITY DR. GRANGER, IN 46530
1
SECTION C: NICARAGUA APPLICANTS ONLY Have you ever been out of the United States? If yes, where and why? Yes
No Do you currently have a passport? Yes
No
SECTION D: EMERGENCY CONTACTS
1
2
Parent/Guardian Name
Parent/Guardian Name
Address
Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
SECTION E: SPIRITUAL INFORMATION 1
2
Do you have a personal relationship with Jesus Christ? Please describe:
Have you ever been on a mission trip before? If so, please tell us about it:
2
Why do you want to go on this mission trip?
What are some things you expect to happen on this trip?
What do you expect of your adult leadership team?
1.
List two strengths you feel would make you a valuable team member. Briefly explain each.
2. What steps have you been taking over the last two months to grow in your relationship with Jesus?
List and explain any weaknesses you have that you need to work on before this trip:
How does your family feel about your plans to go on this trip?
Anything else significant happening in your life that we should be aware of?
3
SECTION F: TEAM MEMBER COMMITMENTS Being a part of a mission trip is a BIG deal and we are asking you to sincerely consider and make the following commitments. These are commitments you will be held to as part of this experience and failure to follow through could alter your engagement on this trip. 1 2
STUDENT
I want to make a difference in this world because other people matter! I want to help bring up there down here! I understand the vision and expectations of this trip and I commit myself to doing the best job I possibly can for God, my team, this mission trip and Granger Community Church. I understand that breaking commitments and failing to meet expectations may be grounds for my dismissal from the mission team. STUDENT SIGNATURE:
DATE:
PARENT/GUARDIAN
I understand my child’s commitment to this mission trip, the team, the training sessions and the financial obligations. I will give my child my full support. I will encourage him/her in this adventure and I give my permission for my child to be a part of this mission trip. *MANDATORY SIGNATURE:
DATE:
*REQUIRED ONLY FOR STUDENTS UNDER THE AGE OF 18
For more information or for questions, contact Katie Fields at 574.243.3506 x399 or [email protected]
FOR OFFICE USE ONLY
DATE:
DEPOSIT INFO
4
OTHER PEOPLE MATTER
SECTION A: TRIP INFORMATION What grade are you currently in?
Which Mission Trip(s) are you applying for?
Deposit checks can be made payable to Granger Community Church. Once accepted onto the trip, deposits are non-refundable.
SECTION B: PERSONAL INFORMATION Full Name Male
Name you prefer to go by
Female
Phone
Date of Birth Address Email Hobbies and/or extra-curricular activites
PLEASE RETURN COMPLETED APPLICATION AND DEPOSIT TO GRANGER COMMUNITY CHURCH ATTN: GSM MISSION TRIPS 630 E. UNIVERSITY DR. GRANGER, IN 46530
1
SECTION C: NICARAGUA APPLICANTS ONLY Have you ever been out of the United States? If yes, where and why? Yes
No Do you currently have a passport? Yes
No
SECTION D: EMERGENCY CONTACTS
1
2
Parent/Guardian Name
Parent/Guardian Name
Address
Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
SECTION E: SPIRITUAL INFORMATION 1
2
Do you have a personal relationship with Jesus Christ? Please describe:
Have you ever been on a mission trip before? If so, please tell us about it:
2
Why do you want to go on this mission trip?
What are some things you expect to happen on this trip?
What do you expect of your adult leadership team?
1.
List two strengths you feel would make you a valuable team member. Briefly explain each.
2. What steps have you been taking over the last two months to grow in your relationship with Jesus?
List and explain any weaknesses you have that you need to work on before this trip:
How does your family feel about your plans to go on this trip?
Anything else significant happening in your life that we should be aware of?
3
SECTION F: TEAM MEMBER COMMITMENTS Being a part of a mission trip is a BIG deal and we are asking you to sincerely consider and make the following commitments. These are commitments you will be held to as part of this experience and failure to follow through could alter your engagement on this trip. 1 2
STUDENT
I want to make a difference in this world because other people matter! I want to help bring up there down here! I understand the vision and expectations of this trip and I commit myself to doing the best job I possibly can for God, my team, this mission trip and Granger Community Church. I understand that breaking commitments and failing to meet expectations may be grounds for my dismissal from the mission team. STUDENT SIGNATURE:
DATE:
PARENT/GUARDIAN
I understand my child’s commitment to this mission trip, the team, the training sessions and the financial obligations. I will give my child my full support. I will encourage him/her in this adventure and I give my permission for my child to be a part of this mission trip. *MANDATORY SIGNATURE:
DATE:
*REQUIRED ONLY FOR STUDENTS UNDER THE AGE OF 18
For more information or for questions, contact Katie Fields at 574.243.3506 x399 or [email protected]
FOR OFFICE USE ONLY
DATE:
DEPOSIT INFO
4
