Calvary Church Student Ministries / C4 Summer Outreach
Welcome to the 2009 Student & C4 Mission Trip Online Application
Please fill in all boxes and double check that all information is correct before submitting this form.(You may hit Tab to select the next box, or Shift+Tab to go back one box)**NOTE: Application takes about 20-30 minutes to complete. You CANNOT begin it, save it and then complete it at another time. Please complete the full application when you can do it in one sitting. Please be ready to input insurance information (if you have it) at the end of the form.
Your Name:
Name of Trip Applying for: select onePhillyWayumiNew York Next LevelDominican RepublicUkraineC4 Costa Rica
Are you applying to be a leader or participant? participantleader
Personal Information:Age: Phone: Email: Address: Home Church:
Where do you attend school or work?
Parents Name:
Parent's Phone Number: Parent's Email:
Please Answer the Following Questions:1a. Are you a Christian? YesNo1b. Tell us about your personal story of how you came to have faith in Christ. 2a. Have you ever had any short term or long term missions experience? YesNo2b. If yes, please explain the trip name, dates, location, and your part on the team. Also, summarize the experience and how it affected you. 3. Why do you want to serve on this team?4a. What are your strengths? How could they help this team? 4b. What are your weaknesses? How could they hinder this team? (Please write at least one weakness)5a. What activities or experiences have helped your spiritual growth in the past year?5b. Are you currently serving in any ministries, either at Calvary or another church? YesNoNot Yet5c. If yes, please briefly explain your involvement and role in the ministry(ies).6. What do you think is the purpose of a Christian in the world today?7. List the names of some books (other than the Bible) you have read which have contributed to your spiritual growth?8. List a verse or a passage of scripture that has significant meaning to your life, and state why. 9. Where would you rate yourself regarding Great Commission service and becoming a world Christian? I am a supporter of other missionaries. I am definitely going to be a missionary. I am open to being a missionary, but I am unsure where. I have just started thinking about being a missionary. I have never really thought about missionary work.
10. Please rate yourself in the following areas, using your life experience as a comparisson: (5=Great, 1=Needs Improvement)
Relationship to the Lord5 Great4321 Needs Improvement
Respect for Authority5 Great4321 Needs Improvement
Sense of Responsibility5 Great4321 Needs Improvement
Flexibility/Adaptability5 Great4321 Needs Improvement
Sensitivity to Others5 Great4321 Needs Improvement
Servant′s Heart & Attitude5 Great4321 Needs Improvement
Leadership Potential5 Great4321 Needs Improvement
Positive Attitude5 Great4321 Needs Improvement
Ability to Work Hard5 Great4321 Needs Improvement
Ability to get along with Others5 Great4321 Needs Improvement
11. Briefly describe your future plans as best you forsee:
12. Are you currently sharing your faith with any friends or family members? YesNoI have someone in mindI don't feel like I know how
13. Are your parents supportive of your decision to go on this mission trip?select oneYesNoI haven't thought to ask them
14a. Do you have scheduling conflicts that could prevent you from being on this team, participating in all the training meetings, or being part of the auction? select oneYesNoNot sure 14b. If Yes or Not sure, Please explain Getting to know you...Favorites:15. Musical Group or Artist? 16. Cereal? 17. Movie? 18. Book of the Bible? 19. Author? 20. Sports Team?
If "yes" please explain:
Do you have any allergy or medication requirements? yesno
Will you be covered by a health insurance program during this trip? yesnoName of Company : Policy #
©2009 Calvary Church Student Ministries Missions Team