Name
*
Nombre
Apellidos
Expedition
*
Expedition date
*
MM
DD
AAAA
Email
*
Gender
*
------
Hombre
Mujer
Name of your church?
*
Date of birth
*
MM
DD
AAAA
Address
*
Dirección 1
Dirección 2
Ciudad
Estado/Provincia
Código postal
País
Cellphone number
*
(###)
###
####
Home number
*
(###)
###
####
Main contact
*
Nombre
Apellidos
Email
Phone
*
(###)
###
####
Relationship
*
Do you have a valid passport?
--------
Sí
No
Name (as it appears on your passport)
Nombre
Apellidos
Passport number
Expiration date
Nota: tu pasaporte deberá tener una vigencia mínima de seis meses a partir de la fecha del viaje.
MM
DD
AAAA
Do you have a valid visa that allows you to enter into the United States?
--------
Sí
No
Ocuppation
*
Employer/School
*
Marital status
--------
Soltero(a)
Casado(a)
Divorciado(a)
Otro
Name of your spouse
Nombre
Apellidos
Spouse phone number
(###)
###
####
Spouse email
How long have you attended your Church?
*
Do you participate or are the leader of any discipleship at your Church?
*
In what areas do you serve in your Church and how long have you been serving there?
*
Mention what habilities, talents, spiritual gifts or former service experiences would be useful for this trip.
*
List all of your experiences in other missionary trips.
*
Have you traveled outside of your country before? List the places you have been to and the purpose of the trip.
Languages you speak, write, read or understand.
*
Briefly describe your testimony.
*
Briefly describe your reading, discipleship and prayer disciplines.
*
What has God taugth you this last year?
*
Why do you want to be part of this trip, and how is God guiding you in this direction?
*
What does your family think about you going on this missionary trip?
*
What are your doubts about this missionary trip?
*
In your opinion, ¿What are your strenghts and weaknesses in your character?
*
Birefly describe what you expect God to do thru you in this trip?
*
Height
*
Weight in pounds
*
Do you have any allergies or sickness that may affect you or others during this missionary trip?
*
--------
Sí
No
If your answer was "yes", please specify.
*
If in use of medication can you bring sufficient for this trip?
*
Do you have medical insurance? If so, please enter insurace name, number, and group.
*
How do you plan on covering the expenses of this trip?
Shirt size
--------
S
M
L
XL
XXL
Do you have any quiestion or comment about this application?
Pastor Name
Nombre
Apellidos
Email
Message to your pastor
*
I confirm that I have read and accepted the policies and responsibilities established in this Commitment Letter.
SIGN WITH FULL NAME
*
SIGN WITH FULL NAME
*