TEAM MEMBER RENEWAL APPLICATION
Welcome to the Christ Community Church short-term missions team member application form. We are excited that you are once again considering to be a team member on a CCC short-term mission trip.

As a reminder - when you are approved and assigned to a trip you will be later asked by your Team leader to complete an updated Medical Authorization & Release Form for this trip and to again participate in a review of child protection training materials during upcoming team meetings as required of all applicants.

For the Team Member application renewal to be considered by the CCC Director of Missions you must answer all questions to the best of your ability.

This application form is to be only used if you were approved by the Mission Board as a team member on a previous CCC short-term mission trip.
Your Name: *
Your answer
Today's Date: *
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Trip Request
What is the desired destination for your next short-term mission trip? *
Briefly describe below why you want to go on this trip. *
Your answer
Briefly describe below your skills and spiritual gifts that you feel will support trip goals. *
Your answer
Briefly describe below how your previous mission trip experience influenced your decision to participate in this short term mission trip. *
Your answer
MINISTRY & MISSION EXPERIENCE
Briefly describe below your MINISTRY involvement within the church (e.g. VBS volunteer, usher/greeter, etc.). *
Note: current church ministry involvement is a requirement of all applicants.
Your answer
Briefly list below the location & year for your previous CCC SHORT-TERM MISSION TRIP(s). *
Your answer
PERSONAL LIFE CHANGES
Briefly describe below any major life changes you have gone through in the past year (e.g. job or family changes, illness, injury, death of a relative or close friend, etc.). *
( If none enter NONE.)
Your answer
YOUR CONTACT INFORMATION
Your name: *
Your answer
Your current street address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Home phone (with area code): *
If None, enter NONE
Your answer
Work phone (with area code): *
If None, enter NONE
Your answer
Cell phone (with area code): *
If None, enter NONE
Your answer
Email address: *
If None, enter NONE
Your answer
EMERGENCY CONTACT INFORMATION
Please provide the Emergency Contact Information listed below (this should be someone who will not be on the mission trip with you).
Name of Contact: *
Your answer
Relationship: *
Your answer
Home phone (with area code): *
If None, enter NONE
Your answer
Work phone (with area code): *
If None, enter NONE
Your answer
Cell phone (with area code): *
If None, enter NONE
Your answer
PERSONAL & FAMILY INFORMATION
Your date of birth: *
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Your gender: *
Your marital status: *
Spouse's name: *
(If not applicable, enter N/A)
Your answer
Will your spouse be traveling with you? *
Names and relationships of other immediate family members: *
(If none, enter NONE)
Your answer
Will any of these family members be traveling with you? *
If Yes please identify by name *
(If not applicable, enter N/A)
Your answer
INTERNATIONAL MISSION TRIP INFORMATION
Please update this section if the mission trip you are applying for is in another country. (If you are not traveling to another country check select No to the first question below and proceed to the Small Group Reference section of the application).
Will you be traveling on an international trip? *
Do you have a passport?
Please provide your name exactly as it is listed on your passport:
Your answer
List your passport number:
Your answer
Passport expiration date:
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Have you made three photocopies?
(Your team leader will require them)
Are you a citizen of the United states?
(If no please list your country of citizenship below beside 'other")
Have you ever been denied a travel visa or had a travel visa revoked?
(If Yes please identify reason beside 'other' below)
SMALL GROUP REFERENCE
Note: Please let us know if you currently involved with a small group. If none, enter N/A under group leader name and phone below.
Name of your small group leader: *
Your answer
Leader's email or phone: *
Your answer
FAMILY SUPPORT
How do your immediate family members feel about you applying and/or going on this trip? *
Your answer
If you have family members applying for the same mission trip, what challenges do you anticipate facing with multiple family members participating on this trip?
(If not applicable enter N/A)
Your answer
THANK YOU
Thank you for taking the time to complete this form. It is our prayer that you have a safe, fruitful, and personally rewarding mission experience. The Missions Board at Christ Community Church commends you for your willingness to GO in response to God's call.

Matthew 28:19

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