Short Term Missions Application

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Name

First Name

Last Name

Full Name as it appears on your Passport

First

Middle

Last

What is the Expiry Date of your Passport?

First

Middle

Last

Home Phone

Date of Birth

Marital Status

Do you regularly attend services at Redemption Bible Chapel?

Are you in a Redemption Bible Chapel Small Group?

Do you serve in one of the Ministries of the Church?

Briefly list your previous ministry involvements at RBC or outside of RBC

Please list your spiritual gifts

Briefly list any previous cross-cultural experience in ministry

Do you speak, read or write a foreign language?

Please list all specialized skills that you have developed and are able to use

Small Group Leader Reference

Other References

Do you have or have you had any previous health problems in the past 5 years?

Are you on any prescription medication that you are taking under a doctor's care that the team leader should be aware of?

Do you have medical insurance

Describe how and when you became a Christian

List at least 2 reasons why you are interested in going on a missions trip

Date of Application