Mission Trip Application - DOC - DOC by 4JG85w

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									MISSION TRIP APPLICATION

              SUBMIT THIS APPLICATION WITH YOUR NON-REFUNDABLE DEPOSIT

  Office Use Only
  Mission Trip Name and Number: _________________________ Dates: __________________



Personal Information:
Please provide your full legal name as it appears on your passport.

Print Name ______________________________________________________________________________
                 Last                  First                   Middle
Present
Address_________________________________________________________________________________

City ______________________________________State ______________ Zip Code __________________

Permanent Address _______________________________________________________________________

City______________________________________State ______________ Zip Code ___________________

Phone # Home (____)_________________Work(____)_________________Cell(___)___________________

E-mail Address ___________________________________________________________________________

Date of Birth ______/______/_______ (mm/dd/yyyy)        Male          Female

Marital Status:  Single  Married    Separated  Divorced
 Engaged  Widowed  Annulled  Divorced & Remarried

Spouse’s Name: __________________________________________________________________________

Spouse’s Phone # Work: ________________________________Cell________________________________

Passport Information:
Citizenship________________________________ Country of Birth _________________________________

Passport #_______________________________________Expiration Date____________________________

City and State where passport was issued ______________________________________________________




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MISSION TRIP APPLICATION


Beneficiary Information:
Beneficiary Name: _________________________________________________________________________

Relationship to You: _______________________________________________________________________

Phone # Home____________________Work_________________________Cell_______________________


Person to Notify in Case of Emergency:
Name: __________________________________________________________________________________

Relationship to You: _______________________________________________________________________

Address: ________________________________________________________________________________

City/State/Zip: ____________________________________________________________________________

Phone # Home______________________Work ______________________Cell________________________


If you are under 18 yrs. old or living at home:

Do you have Parental Permission and Support for this Mission?    YES    NO

If no, please explain _______________________________________________________________________

________________________________________________________________________________________

Parents’ Names__________________________________________ Phone #__________________________

Parents’ Names__________________________________________ Phone #__________________________



Previous Mission Trips:
Have you been on a mission trip before? □Yes or □No If so, where?
________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________


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MISSION TRIP APPLICATION
What type of ministry did you do on the previous mission trips?
________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________



Qualifications/Skills/Abilities:
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or
through other mission trips that you will apply on this project.
________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________




Financial Support:
Have you received financial support from Olive for a previous project?      □Yes or □No

Is financial assistance needed in order for you to make this trip?   □Yes or □No

If yes, then prior to support letters how much can you pay toward the cost? $_______________ If yes, please
contact the Missions Ministry office (850- 475-1149) for a financial support application or fill out a form online
and turn it in to our office.




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MISSION TRIP APPLICATION



 Prayer Support:
 Please list 5 people who have agreed to pray daily for you on this trip.

 _________________________________________________

 _________________________________________________

 _________________________________________________

 _________________________________________________

 _________________________________________________




 _________________________________________________                          _____________________________
 Signature of Applicant                                                           Date of application


 __________________________________________________                         _____________________________
 Signature of parent or guardian if applicant is less than                        Date signed
 18 years of age.




 Participation on a mission team is subject to approval by the Olive Baptist Church Missions
 Department. All forms must be completed and submitted to the missions office (850-475-1149) in order
 to be considered for approval.



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