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Ministry Team Member Application

Which trip are you applying for? (required)

First Name: (required)

Middle Name: (required)

Last Name: (required)

Date of birth: (required)

Gender: (required)  Male Female

Occupation:

If you are a medical professional, please indicate your field:

Street address: (required)

City: (required)

State: (required)

Zip: (required)

Country: (required)

Home Phone: (required)

Work Phone:

Cell Phone: (required)

Email: (required)

Passport Number: (required)

Passport expiration date: (required)

Emergency contact name: (required)

Relationship: (required)

Phone Number: (required)

Shirt size: (required) Small Medium Large XL XXL

Medical insurance provider: (required)

Policy #: (required)

Phone: (required)

(if possible, other than toll free number)

Please list any condition that may limit your participation and any medications you are currently taking: (required)

Please list any allergies to food, medicine, etc: (required)

Do you have any physical disability? (required)

 Yes No

If YES, please describe:

Church Name: (required)

Denomination: (required)

Church address: (required)

City: (required)

State: (required)

Zip: (required)

Country: (required)

Church Phone: (required)

How long have you attended? (required)

Name of Pastor: (required)

Phone:

Do you attend church regularly? (required) Yes No

Are you currently serving in full-time Christian ministry? (required) Yes No

In what areas of church life are you currently serving or have you served in the past?

What do you believe are your primary spiritual gifts? (required)

Have you received any ministry training in the area of healing? (required)

 Yes No

If so, please describe:

Have you received any other Christian ministry training? (required)

 Yes No

If so, please describe:

Are you fluent in any languages other than English?

 Yes No

Languages:

Have you previously travelled with GMA? (required)

 Yes No

Locations / Dates:

In your own words, write a brief description of your salvation experience:

In your own words, write a brief description of why you want to join this trip :


 

Media Release

Global Mission Awareness often takes photographs and video footage on ministry trips for use in Global Mission Awareness advertising, promotional materials, web page, and publications. In signing below, you fully authorize Global Mission Awareness to use video or photographs taken of you in any or all of the above mentioned materials.

I authorize global mission awareness to use any photographs or video footage taken of myself in any and all publications mentioned above.

 Yes No


 

Agreement

I declare that the information provided by me in this application is true, correct, and complete to the best of my knowledge. I authorize global mission awareness to verify any and all information provided above.

I have read the important information and ministry trip guidelines and conduct policy outlined in this packet and I agree to follow the ministry trip guidelines & conduct policy. As a ministry team member I agree to follow the directions and decisions made by Global Mission Awareness leadership regarding other ministry team members. I also agree not to consume any alcohol, drugs and/or tobacco, and not to use any foul language for the duration of the trip.

I agree to all the information above. (required)

 Agree Disagree

Electronic Signature (Full Name - required)

Date: (required)