2019 Short Term Missions Application
Date of Birth
Best Phone Number to reach you
Which Short Term Experience are you interested in?
Check all that apply
Iquitos, Peru (June 8-16, 2019)
CityReach Madison (July 20-26, 2019)
Anaheim, CA (August 3-9, 2019)
Dallas, TX (Mid-August 2019)
Xilitla, Mexico (September 2019)
CityReach+ Hattiesburg, MS (September 25-29, 2019
Bendigo, Victoria, Australia (October 12-21, 2019)
If you're applyting for travel abroad, what is your passport status?
I have a valid passport
I have applied for a new/renewed passport
My passport's expired
I don't have a passport
What's a passport?
Give a brief narrative of your salvation experience, spiritual life/growth, and where you serve currently in regards to ministry to others.
Why do you want to go on a short term mission trip?
In considering the price for the trip(s) you're interested in, how do you plan on funding your trip? Check all that apply.
Writing personal letters
What's your experience with short term missions?
ROOKIE-I've never been on a short term mission trip
SPRING CHICKEN-I've been on a short term mission before, but not that many or overseas.
SEASONED VETERAN-I've had several short term experiences both in the US and abroad.
Briefly describe where you've gone on short-term missions
How'd you hear about 516Missions?
Previous 516Missions team
Through my church
Friend or Family Recommendation (please specify below)
Pastor Recommendation (please specify below)
Missionary Recommendation (please specify below)
Other (please specify below)
Who recommended 516Missions to you?
Church Affiliation (If none, enter N/A)
Please include City and State
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