Indonesian Student App
2017 Indonesian Mission Trip Student Application
Name: ____________________________________________________ Date of Birth: ___/___/___ Street Address: ______________________________________________________________________ City: __________________________________________ State: _________ Zip Code: ______________ Phone Number: (____) __________________ Email address ___________________________________ Parent/Guardian Name: ________________________________________________________________ Phone Number: (____) _________________ Email address: ___________________________________
Please take time out to answer the questions listed below to help us in considering you for participation in the 2017 Indonesian Mission Trip.
School Currently Attending: ________________________________________ Current Grade: _______ Extracurricular activities you are involved in: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Community Service/volunteer work you have participated in:___________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
Have you previously participated in a mission trip? Yes/ No If you answered Yes above, please share with us about the trip: When: ____________________________________ Where: ____________________________________ With whom did you go: _________________________________________________________________ Have you ever Been Outside of the country? Yes / No
If so where? ___________________________
The trip to Indonesia will be from June 15-July 1, do you see any unforeseen issues with this date that might hinder you from participating fully? Yes/No, if yes please explain. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Why do you want to participate in this trip and what would you hope to gain from this experience? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ What do you expect will be particularly challenging for you on this trip? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ What do you hope to contribute to the team (Spiritual gifts/talents/skills)? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
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On the following pieces of paper please take the time to share with us your personal testimony/spiritual journey. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
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Name: ____________________________________________________ Date of Birth: ___/___/___ Street Address: ______________________________________________________________________ City: __________________________________________ State: _________ Zip Code: ______________ Phone Number: (____) __________________ Email address ___________________________________ Parent/Guardian Name: ________________________________________________________________ Phone Number: (____) _________________ Email address: ___________________________________
Please take time out to answer the questions listed below to help us in considering you for participation in the 2017 Indonesian Mission Trip.
School Currently Attending: ________________________________________ Current Grade: _______ Extracurricular activities you are involved in: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Community Service/volunteer work you have participated in:___________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
Have you previously participated in a mission trip? Yes/ No If you answered Yes above, please share with us about the trip: When: ____________________________________ Where: ____________________________________ With whom did you go: _________________________________________________________________ Have you ever Been Outside of the country? Yes / No
If so where? ___________________________
The trip to Indonesia will be from June 15-July 1, do you see any unforeseen issues with this date that might hinder you from participating fully? Yes/No, if yes please explain. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Why do you want to participate in this trip and what would you hope to gain from this experience? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ What do you expect will be particularly challenging for you on this trip? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ What do you hope to contribute to the team (Spiritual gifts/talents/skills)? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
On the following pieces of paper please take the time to share with us your personal testimony/spiritual journey. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
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