Mission Trip Application Form - Madison Park Christian Church

Trip Interest:

All questions on this form are meant to help us get to know you better; they are not meant to disqualify you from going on a trip with Madison Park Church in any way.

Please answer the following:

Are you a committed Christian submitted to the Lordship of Jesus Christ? *

Yes

No

Are you a person with a servant heart, interested in missions work and open to God's calling in your life? *

Yes

No

Are you ready spiritually, emotionally and physically (must be able to participate in rigorous activity) for a mission trip? *

Yes

No

Address

Birthdate

Gender

Marital Status (single, married, divorced, widowed): *

Your Citizenship: *

Missions/Service Experience (other missions trips): *

Do you call Madison Park Church home? *

Emergency Contact Information:

Name: *

Relationship: *

Education History

Highest education acquired: *

Current Profession: *

Skills, Talents, Foreign Languages and Ministry Experience: *

Please list any skills, interests, hobbies or talents: (Teaching Bible school lessons; crafts; puppets; building, agricultural or mechanical skills; medical training; sewing; sports; etc.) Describe your ability and experience for each item you list:

Personal Profile

Describe your personal strengths: *

Describe your personal weaknesses: *

Why are you interested in this trip? *

Relationship with Jesus Christ

Have you been baptized by immersion? *

Share how you became a Christian: *

Describe your present relationship with Jesus Christ: *

How did you hear about Madison Park Church Missions? *

Any additional comments: