Short-term Missions Application
Grace Baptist Church sponsored missions trip

Name:      	Date:      
Address:      
Home phone:      	Cell phone:      
Date of birth:      	Age:      
Email address:      
Name of your mentor:      
In what ways are you involved at Grace Baptist Church?      
Please share your testimony as a born again Christian:      
Have you submitted to believer’s baptism?  Yes	 No	If so, when?      
Explain what you hope to see the Lord do in and through you on this mission experience:      
Describe the mission trip you are applying to participate in: 
Team leader:      	Trip cost:      
Location:      
Departure date:      	Return date:      
Describe type of work/ministry you expect to be involved in:      
Emergency contact
Name:      	Relation to you:      
Address:      
Phone: Home:      	Cell:      	Work:      
Name of your primary physician:      	phone:      
If selected to join the above missions trip, I commit to: 
•	Go through the pre-departure training and the post trip debrief
•	Submit to the team leader’s and the field host’s authority
•	Refrain from any behavior that may compromise my witness (abusive language, alcohol or drug use, etc.) and conduct myself in a manner worthy of the Lord while serving Him on the trip
•	Prayerfully and conscientiously raise the prayer and financial support
•	After my trip, share about my experience with the church as requested by the leadership
Applicant signature:      	Date:      
Applicants under the age of 18 must have the approval of a parent or guardian
I give my approval for my child to participate in the above described mission trip. 
Parent/Guardian name:      	Phone number:      
Parent/Guardian Signature:      	Date: