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Grace Powell Missions
Short Term Missions Trip Application
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* Indicates required question
Name (Please type FULL LEGAL NAME as it appears on your passport)
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Your answer
Applying for which team/location?
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Your answer
Application Date
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MM
/
DD
/
YYYY
Cell Phone Number
*
Your answer
Email
*
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Marital Status
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Single
Engaged
Married
Widowed
Separated
Divorced
Occupation?
*
Your answer
Passport Expiration Date (if applicable)
MM
/
DD
/
YYYY
Relationship to Grace Powell Church
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Member
Regular Attender
Occaisional Attender
Involved in a church other than GPC
If you are a member or regular attender of GPC, how long have you been attending?
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Your answer
Would this be your first missions trip?
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Yes
No
List Three People to Serve as References
(Please provide Name, Email, Phone # and Relationship to you)
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Your answer
In 5-10 sentences please describe your desire to be on this team. Why would you would be a good fit? What specific skills can you bring to this team?
*
Your answer
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