NCF 2019 Short-Term Missions Application
Please complete this application and submit it by 3/10 (Sun).

If you have any questions, please contact Pastor James at pastorjlee@nyncf.org.

Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Address *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Are you a U.S. citizen? *
If not, are you a permanent resident?
Do you currently have a passport? *
Do you currently have health insurance? *
Please list all medical problems and hospitalizations you had in the past 12 months. *
Your answer
Please list any history of major illness or surgery. *
Your answer
Please list any medications that you are currently taking. *
Your answer
Please list any allergies that you have. *
Your answer
Do you have any physical limitations and/or disabilities that might hinder your ability to perform certain tasks? *
Your answer
Who should we contact in case of emergency? *
Your answer
Are you currently serving in NCF? *
If yes, please briefly describe your ministry responsibilities.
Your answer
Have you ever participated in short-term missions in the past? *
If yes, please briefly explain each short-term missions trip (when, where, and what kind of ministry).
Your answer
Why do you want to participate in 2019 short-term missions? *
Your answer
How would you describe your current personal relationship with Jesus? *
Your answer
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