Mission Trip Application Form

Participation on a Missions Team is determined by discretion of the leadership. Not every trip or team is a good fit for everyone.

Mission Trip Interested in

First Name

Last Name

Phone Number

Date of birth

Gender

Do you have a valid passport?

Yes

Not needed for this trip

Passport Expiration Date

Country on Passport

Passport number

Spiritual Information

Is Cornerstone Church your home church?

Yes

If yes, what service do you attend? How long have you been attending?

If no, where do you attend? How long?

What brings you to be interested in this trip with Cornerstone?

Have you participated in Outreach or Missions at Cornerstone?

Do you attend a Built Life Group or other small group? (Please specify)

Do you serve in or outside the church? If so, what ministry(s)?

What do you think your spiritual gifts are?

Please name a pastor or leader at Cornerstone who could give your a reference:

Please list 2 people who know your spiritual walk (name, email, phone #):

Please describe how and when you came to know the Lord:

Have you been water baptized?

Yes

If yes, where & when?

Have you ever served on a mission trip, or had any cross cultural experience? (If yes, please describe)

Please explain briefly why you want to participate in this mission trip:

Talents & Work Experience

Please list any specific talents that you have (i.e. drama, singing, worship, face painting, instruments, construction, medical, teaching, evangelism, etc)

Are you employed? If so, where? What is your role? How long?

Do you have any medical emergency experience or certifications? (If so, please specify)

Do you speak a foreign language fluently? If so, which?

What do you see as your strongest character quality and why?

What do you see as your weakest character quality and why?

Health Information

Are you physically able to participate in labor intense work? (If not, please explain)

Are you physically able to handle extremely hot climates? (If not, please explain)

Please list any allergies or medical needs:

Does your medical cover you overseas?

Rate your health and fitness

Personal Information

What are your personal expectations for this trip?

If you are in a dating/engaged relationship with someone, is this person interested in going on the same mission trip?

How does your family feel about you going on this trip?

Have you ever been convicted of a crime? If yes, please explain:

Have you filled out a ministry application with a background check for Cornerstone? If no, we may need to run a background check, as this trip may include ministry to children?

I understand and am willing to make myself available to attend meetings leading up to this trip:

As a short-term missionary participating with Cornerstone Church short-term missions, we are reminded that we are ambassadors of the Lord Jesus Christ. As we go to minister, we do not only represent Him but also Cornerstone Church. This is a tremendous responsibility; consequently we confess our dependence on the Holy Spirit that we will be above reproach in our actions and attitudes in every area.

In signing below, you are agreeing to uphold the standards of conduct, dress and Christian lifestyle that is expected of being this type of representative. Also, agreeing to the below statement:
Each team member serves at their own risk. Cornerstone Church is not liable in the event of sickness, accident, death, or terrorist acts or for transportation and any other expense beyond normal involvement. Once the tickets are purchased, there is no refund of funds.

Signature

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