New Life Community Church--Application for Honduras Missions Trip 2015
BEFORE YOU BEGIN: To fill out this application, you will need to have on hand your passport, your church's address, and your pastor's phone number and email address.

If you have any questions, please contact Amos Yang (amosyangmd@gmail.com, 626-272-7120).

What is your LAST name as printed on your passport? *
Your answer
What is your MIDDLE name as printed on your passport? *
(If no middle name is listed on your passport, simply put "--" as your answer here.)
Your answer
What is your FIRST name as printed on your passport? *
Your answer
What name do you go by? *
(What name do your friends address you with? What first name should be put on a name tag for you?)
Your answer
What country issued your passport? *
When does your passport expire? *
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What is your gender? *
What is your date of birth? *
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How many times already have you served on a World Gospel Outreach trip? *
What is your preferred email address? *
Your answer
What email address do you use with Google Drive / Google Docs? *
(If you're not sure what this means, put the same email address as what you put above for your preferred email address.)
Your answer
What is your permanent address street and address number? *
(e.g. "1234 Main St."; if you are at school, put your home address, not your school address)
Your answer
What is your permanent address city? *
Your answer
What is your permanent address state? *
What is your permanent address zip code? *
Your answer
What is your preferred phone number for phone calls? *
Your answer
What is your preferred phone number for text messages? *
(Just around the time of the trip, we sometimes use text messages to coordinate the team.)
Your answer
How did you hear about this short-term missions trip? *
(Feel free to mention specific names of people who told you about this trip.)
Your answer
How good is your Spanish? *
(You don't need to know any Spanish to go on the trip. World Gospel Outreach asks that we supply them with this information though.)
What is your overall health condition? *
(This is another question that World Gospel Outreach asks us to supply.)
What medical problems do you have? *
(Check all that apply.)
Required
What is your occupation? *
(If you are retired, please list your past occupation.)
If you are a student, what are you currently studying?
(What is your major? If you are a not a student, leave this blank.)
Your answer
If you are a student and are planning to pursue a healthcare field, which field are you hoping to enter? *
What is the full name of your church? *
Your answer
What is the street address of your church? *
(e.g. 1234 Main St.)
Your answer
In what city is your church? *
Your answer
In what state is your church? *
What is your church's zip code? *
Your answer
Are you a member of your church? *
What is your pastor's name? *
(If you have multiple pastors, list the one who knows you best.)
Your answer
What is your pastor's email address? *
Your answer
What is your pastor's phone number? *
Your answer
What is the name of another person (besides the pastor you named above) who can offer an assessment of your spiritual maturity? *
(Please provide his/her first and last name. This can be a small group Bible study leader, a discipler, etc.)
Your answer
What is your relationship with the above named person? He/She is... *
What is the above named person's phone number? *
Your answer
What is the above named person's email address? *
Your answer
Please write out your testimony of salvation. *
(Please describe how you became a Christian. Be sure to include how you know you are saved. If you are not a Christian, please simply write "I am not a Christian.")
Your answer
What do you hope to get out of this missions trip? *
Your answer
What is your T-shirt size? *
(Unisex sizing)
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