MISSION TRIP APPLICATION - FOR FIRST TIME APPLICANTS
Welcome to the Christ Community Church short-term missions team member application form. We are excited that you are considering becoming a team member on a short-term mission trip.

When you have completed your application it will be reviewed by the Christ Community Church Mission Board to ensure it is complete, that all applicant participation criteria is satisfied, and to consider its final approval. If approved, you will be asked to complete an authorization to allow completion of a background check. Once the background check is satisfied your Team Leader will contact you regarding team training.

When you are assigned to a trip you will be later asked by the Team leader to complete a Medical Authorization & Release Form and to participate in child protection training during an upcoming team meeting as required of all applicants.

For the application to be considered you must answer all questions to the best of your ability.

This form is to be only used if this is the first time you are applying for short-term missions team member approval or have not obtained approval on an earlier application.
Your Name: *
Your answer
Today's Date: *
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REQUIREMENTS FOR MISSION TRIP PARTICIPANTS
Note: Your application will be carefully reviewed by the Mission Board to ensure you have fully committed to the completion of all participation requirements. The goal of the Board is to ensure that you have taken the necessary steps to achieve the spiritual growth & maturity that will allow you to effectively engage in short-term mission activities.
Have you read the requirements to be met by all mission trip participants? *
(Available on the church Mission's web site)
Do you feel you comply with all the requirements listed? *
( If no please describe which requirement you feel may not be met and describe below why you feel your application should still be given consideration.)
Reasons for requesting special consideration *
(If not applicable, enter N/A
Your answer
INITIAL TRIP PREFERANCE
What is your desired first CCC short-term mission trip destination? *
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
Your CONTACT INFORMATION
Name: *
Your answer
Your current street address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip code: *
Your answer
Home phone: *
(Include area code. If none enter NONE)
Your answer
Work phone: *
(Include area code. If none enter NONE)
Your answer
Cell phone: *
(Include 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: *
(Include area code. If none enter NONE)
Your answer
Work phone: *
(Include area code. If none enter NONE)
Your answer
Cell phone: *
(Include 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 you answered yes above please enter their names below. *
If not applicable, enter N/A
Your answer
INTERNATIONAL MISSION TRIP INFORMATION
Please complete 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 Personal References 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 of your passport?
(They will be required by the team leader)
Are you a citizen of the United states?
(If no please list your country of citizenship next to 'other' below)
Have you ever been denied a travel visa or had a travel visa revoked?
(If Yes please identify reason below)
If you answered yes to the above, please explain reason below.
Your answer
PERSONAL REFERENCES
Please provide the names and contact information of three personal references. A CCC Pastor is a required reference. You must meet with the pastor and obtain his approval prior to submitting their name as a reference.
Name of your CCC Pastor reference: *
Your answer
Name of reference # 2 *
Your answer
Reference's email or phone: *
Your answer
Name of reference # 3 *
Your answer
Reference's email or phone: *
Your answer
PERSONAL GROWTH
Briefly describe below your relationship with Jesus Christ. *
Your answer
Briefly describe below your strengths that will serve as an advantage to your mission team. *
(consider your spiritual gifts and any skills you may have)
Your answer
Briefly describe below your weaknesses or areas in which you desire further growth. *
( include your personal spiritual gifts)
Your answer
Briefly describe below your strengths & weaknesses in working within a team. *
(e.g. your ability to compromise with others, your flexibility, your ability to cope with sudden change, etc. )
Your answer
Briefly describe below any major 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.)
Your answer
MINISTRY & MISSION EXPERIENCE
Briefly describe below your MINISTRY activity within the church (e.g. VBS volunteer, usher/greeter, etc.). *
Note: current church involvement is a requirement of all applicants.
Your answer
Briefly describe below (and if possible provide approximate dates for) any previous SHORT-TERM MISSION TRIP experience/leadership you may have had. *
(If none enter none.)
Your answer
Briefly describe below any cross cultural living, training and/or travel experiences you have had. What did you learn? What types of difficulties did you experience? *
(If none enter none.)
Your answer
Briefly describe below the last time you witnessed to someone. *
(If none enter NONE)
Your answer
Briefly describe below why you want to be involved with a short-term missions. *
Your answer
THEOLOGICAL THOUGHTS
In your opinion describe below what does it take to be an effective witness? *
Your answer
If someone asked you, “How do you know there is a God?” What would you say? *
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? *
Your answer
Signature approval
Please type your full legal name as the Participant’s Signature. (e.g. Jonathan William Doe). This entry provides acknowledgment of your having read the application and that you have read and are in agreement with the Participant Requirements.
Participant’s Signature *
Your answer
Signature of parent/guardian if participant is a minor *
(further notarization may be required , Mark NA if not applicable)
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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