SOAR Short Term Mission Application
Team Name/Church *
Mission Location *
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Nick Name or Name you go by
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Home Phone
Your answer
e-mail address
Your answer
Birthdate
MM
/
DD
/
YYYY
Shirt Size
Passport Number
Your answer
Passport Expiration Date
MM
/
DD
/
YYYY
Preferred Contact Method
Beiefly Descibe the dates and results of any problems encountered with:
Hepatitis:
Your answer
Tuberculosis:
Your answer
Do you:
HIV/AIDS:
Your answer
Experience / Skills
Have you ever participated in a short-term mission?
If yes, when did you go and where?
Your answer
Medical
Construction
Language other than English
Computer
Personal Ministry
Statement of Faith
Have you been baptized:
Age at Baptism
Method of baptism
Write a brief statement of faith including a description of your relationship with Jesus Christ; why you want to be on a short term mission team; and any realistic roadblocks that might keep you from going on this mission.
Your answer
Team Covenant: As a member of the team I agree to
Please type your name below as your signature
Your answer
Submit
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