Mission Trip Application - Faith Baptist Mission

Short-Term Missionary Application

Please complete this application form if you are interested in this upcoming trip. Completion of this form does not guarantee that you will be selected for this trip. Once completed, please email the PDF to Bill Donnan at [email protected].

Participant Information

Do you have a passport?

Yes

If no, you will need to begin applying for one right away.

If yes, passport ID number

Name

Prefix First Middle Last Suffix

As it appears on the passport

Expiration Date

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone

Name of Parent / Guardian (if under 18)

First Last

Phone

If under 18 years old and a guardian is not accompanying you on this trip, a PARENTAL CONSENT and AUTHORIZATION form will need to be obtained.

Name of Home Church

Name of Pastor

First Last

Health and Medical Information

Are there any allergies or current medical conditions your team leader should be aware of?

Yes

If yes, please provide necessary information

Do you have any dietary restrictions or food preferences your team leader should be aware of (e.g. vegetarian, vegan, gluten-free, food allergies)?

Yes

If yes, please describe

Skills & Experience

Please indicate any skills or experience you bring that may be useful on the mission field.

Unskilled / General Helper

Handy / Versatile

Skilled Tradesperson

If skilled, please describe

Emergency Contact

Emergency Contact Name

First Last

Relationship

Phone

Give a brief summary of why you feel led to join FBM on this trip and what you hope to get out of this trip.

Acknowledgement & Signature

I understand that completion of this application does not guarantee my participation in this trip. I agree to abide by the policies and guidelines set forth by Faith Baptist Mission and the trip leadership.

Signature

Date