(GSM) 2016 Summer Missions Application Section
Please return the completed application and deposit to:
Place a recent picture of yourself here!
Granger Community Church Attn: GSM Mission Trips 630 E. University Dr. Granger, IN 46530
Granger Student Ministries (GSM) 2016 Summer Missions Application
(Mandatory)
DUE BY FEBRUARY 14
Section A: Trip Information Which GSM program are you a part of? (Circle one.) Middle School (MS)
High School (HS)
What grade are you currently in? (Circle one.) 6th
7th
8th
9th
10th
11th
12th
Which campus do you primarily attend? Granger
Elkhart
Which Mission Trip(s) are you applying for? MOVE ’16 (MS & HS)
CHICAGO ’16 (MS only)
($25 deposit)
($50 deposit)
NICARAGUA ’16 (HS only)
($100 deposit)
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__________________________________________________________________________ Name you prefer to go by______________________________________ Male / Female (Circle one.) Date of Birth_________________________ Address ____________________________________________________________________________ Phone_________________________________ E-mail_______________________________________ Hobbies and/or extra-curricular activities__________________________________________________
Section B continued: for NICARAGUA ‘16 applicants only Have you ever been out of the United States? If yes, where and why? ___________________________ ___________________________________________________________________________________ Do you currently have a passport?
Yes
No
Granger Community Church * GCCwired.com
Section C: Medical Information Do you have any medical conditions that we need to be aware of, or that would prevent you from physical labor? If yes, please explain_____________________________________________________________ ___________________________________________________________________________________ Do you have any allergies or dietary restrictions? If yes, please explain ___________________________________________________________________________________ ___________________________________________________________________________________
Section D: Emergency Contact Father’s Name______________________________ Home Phone_____________________________ Address____________________________________ Work Phone______________________________ ___________________________________________ Cell Phone_______________________________ Mother’s Name______________________________ Home Phone_____________________________ Address____________________________________ Work Phone______________________________ ___________________________________________ Cell Phone_______________________________ Do either of your parents attend Granger Community Church? _______________________________
Section E: Spiritual Information 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________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________
Granger Community Church * GCCwired.com
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? __________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ List two strengths you feel would make you a valuable team member. Briefly explain each. 1. _________________________________________________________________________________ ___________________________________________________________________________________ 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? _____________________ ___________________________________________________________________________________
Granger Community Church * GCCwired.com
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.
□ I commit to have a personal, daily relationship with Jesus. □ I commit to have a servant attitude, putting others and my team members first. □ I commit to be flexible in all situations. □ I commit to be a good example for those we encounter on the trip, and for my team members. □ I commit to attend all team meetings and complete assignments given. □ I commit to respect and obey my adult leadership team members. □ I commit to be responsible for 100% of my trip cost which will be raised through support letters, work projects that are offered and saving my own money to contribute.
□ I commit to praying for the mission team members and those that we will be serving. □ I commit to securing a valid passport. (NICARAGUA ’16 only) 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. Signature: ________________________________________________ Date: ___________________ PARENT OF TEEN: 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 Parent Signature: _________________________________ Date: ____________________
For more information or for questions, call Katie Fields at 574.243.3506 x399 or email [email protected].
For Office Use Only: Date___________________________ Deposit Info________________________
Granger Community Church * GCCwired.com
Place a recent picture of yourself here!
Granger Community Church Attn: GSM Mission Trips 630 E. University Dr. Granger, IN 46530
Granger Student Ministries (GSM) 2016 Summer Missions Application
(Mandatory)
DUE BY FEBRUARY 14
Section A: Trip Information Which GSM program are you a part of? (Circle one.) Middle School (MS)
High School (HS)
What grade are you currently in? (Circle one.) 6th
7th
8th
9th
10th
11th
12th
Which campus do you primarily attend? Granger
Elkhart
Which Mission Trip(s) are you applying for? MOVE ’16 (MS & HS)
CHICAGO ’16 (MS only)
($25 deposit)
($50 deposit)
NICARAGUA ’16 (HS only)
($100 deposit)
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__________________________________________________________________________ Name you prefer to go by______________________________________ Male / Female (Circle one.) Date of Birth_________________________ Address ____________________________________________________________________________ Phone_________________________________ E-mail_______________________________________ Hobbies and/or extra-curricular activities__________________________________________________
Section B continued: for NICARAGUA ‘16 applicants only Have you ever been out of the United States? If yes, where and why? ___________________________ ___________________________________________________________________________________ Do you currently have a passport?
Yes
No
Granger Community Church * GCCwired.com
Section C: Medical Information Do you have any medical conditions that we need to be aware of, or that would prevent you from physical labor? If yes, please explain_____________________________________________________________ ___________________________________________________________________________________ Do you have any allergies or dietary restrictions? If yes, please explain ___________________________________________________________________________________ ___________________________________________________________________________________
Section D: Emergency Contact Father’s Name______________________________ Home Phone_____________________________ Address____________________________________ Work Phone______________________________ ___________________________________________ Cell Phone_______________________________ Mother’s Name______________________________ Home Phone_____________________________ Address____________________________________ Work Phone______________________________ ___________________________________________ Cell Phone_______________________________ Do either of your parents attend Granger Community Church? _______________________________
Section E: Spiritual Information 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________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________
Granger Community Church * GCCwired.com
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? __________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ List two strengths you feel would make you a valuable team member. Briefly explain each. 1. _________________________________________________________________________________ ___________________________________________________________________________________ 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? _____________________ ___________________________________________________________________________________
Granger Community Church * GCCwired.com
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.
□ I commit to have a personal, daily relationship with Jesus. □ I commit to have a servant attitude, putting others and my team members first. □ I commit to be flexible in all situations. □ I commit to be a good example for those we encounter on the trip, and for my team members. □ I commit to attend all team meetings and complete assignments given. □ I commit to respect and obey my adult leadership team members. □ I commit to be responsible for 100% of my trip cost which will be raised through support letters, work projects that are offered and saving my own money to contribute.
□ I commit to praying for the mission team members and those that we will be serving. □ I commit to securing a valid passport. (NICARAGUA ’16 only) 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. Signature: ________________________________________________ Date: ___________________ PARENT OF TEEN: 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 Parent Signature: _________________________________ Date: ____________________
For more information or for questions, call Katie Fields at 574.243.3506 x399 or email [email protected].
For Office Use Only: Date___________________________ Deposit Info________________________
Granger Community Church * GCCwired.com
